Stephen J Bundra, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036069601 Issued in IL

Practice address

1921 Lake Ave Ste B
Wilmette, IL 60091-1480

Phone

(847) 853-9100

Fax

(847) 853-9103

NPI assigned

Jul 14, 2006

Last updated

Feb 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

R Franklin University of Med & Sci/Chicago Medical School, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Residential Home Health Home health agency, Northbrook, IL, CCN 147001
• Guardian Home Health Care, LLC Home health agency, Northfield, IL, CCN 147785
• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
• Swedish Hospital Hospital, Chicago, IL, CCN 140114

Merit-based Incentive Payment System (MIPS)

Final score

89.5 of 100Reported as individual

Quality

97.41

Promoting interoperability

100

Improvement activities

40

Cost

67.59

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Stephen J Bundra MD SC

  • Internal Medicine Physician
  • Wilmette, IL
  • NPI 1770638959
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Endeavor Health Clinical Operations

  dba Endeavor Health Evanston Hospital

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation
• Guardian Home Health Care LLC

  • Home Health Agency
  • Northfield, IL
  • NPI 1366439655
  Care Compare affiliation
• Residential Home Health Illinois, LLC

  dba Residential Home Health

  • Home Health Agency
  • Northbrook, IL
  • NPI 1114673787
  Care Compare affiliation
• Swedish Covenant Health

  dba Endeavor Health Swedish Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1831151257
  Care Compare affiliation

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1326064387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 LAKE AVE STE B",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911480",
            "telephone_number": "847-853-9100",
            "fax_number": "847-853-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 LAKE AVE STE B",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911480",
            "telephone_number": "847-853-9100",
            "fax_number": "847-853-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDRA",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036069601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Brunner, M.D.
• Marie Brzezinski, LPC
• Angel Mehta Buchanan, PH.D.
• Anna Marie Buchmann, PH.D
• Melissa Dobbins Buchmann, MS, RD, CDE
• James Kevin Buskirk, P.T.
• Jason Michael Bussell, MSOM, L.AC.
• Donna Parise Byrne, P.T.
• Abigail Cabagay, DPT
• Jennifer Jane Cacanindin, D.C.

• Family Medicine Physician in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.