John Paul Federbusch, M.D.

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

036056863 Issued in IL

Practice address

2333 W Irving Park Rd
Chicago, IL 60618

Phone

(773) 506-7340

Fax

(773) 506-7341

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metropolitan Medical Consultants, S.C.

  dba Vein Care Alternatives

  • Phlebology Physician
  • Chicago, IL
  • NPI 1396877320
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1235261264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 W OAKDALE AVE APT 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575111",
            "telephone_number": "630-776-4923",
            "fax_number": "630-629-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60618",
            "telephone_number": "773-506-7340",
            "fax_number": "773-506-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERBUSCH",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "IL",
            "license": "036056863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036056863",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROV # FOR GROUP NAMED:   METROPOLITAN MEDICAL CONSULTANTS, S.C.",
            "identifier": "787360",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PROVIDER NUMBER  FOR THE GROUP NAMED:  CHICAGO UPTOWN MEDICAL CENTER, GROU",
            "identifier": "208486",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC-IL GRP PROV # FOR GROUP NAMED:   METROPOLITAN MEDICAL CONSULTANTS, S.C.",
            "identifier": "02215674",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Nicole Feder, PA
• Marc Feder, D.P.M.
• Robert Scott Feder, M.D.
• Federacion de Clubes Michoacanos En Illinois
• Federal Health Support Services
• Federer Surgical Services LTD
• Howard Clark Federer III, M.D.
• Linda Ferris Federer, NP
• Bohdan Fedirko, MD
• Julie Marie Fedorko, DO

• Phlebology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Phlebology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.