John G Scaramella MD SC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

JOHN G SCARAMELLA MD SC

Practice address

4920 N Central Ave
Suite 2B
Chicago, IL 60630-2338

Phone

(773) 202-5959

Fax

(773) 202-9144

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

John G Scaramella, M.D.NPI 1033159157

Title

Owner

Phone

(773) 202-5959

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John G Scaramella, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1033159157

  Single Specialty

  Medicare reassignment NPD Authorized official
• Andrzej P Indyk, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1023065984
  NPD

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1407044225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7389",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600707389",
            "telephone_number": "773-202-5959",
            "fax_number": "773-202-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 N CENTRAL AVE",
            "address_2": "SUITE 2B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302338",
            "telephone_number": "773-202-5959",
            "fax_number": "773-202-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN G SCARAMELLA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "SCARAMELLA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-202-5959",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087838",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Douglas Van Arsdale, M.D.
• John E. Stopka M.D. S.C.
• John Francis McGowan
• John G Latall MD SC
• John G Lease, LTD
• John H Stoger Hospital of Cook County
• John H Stroger Hospital
• John H Stroger Hospital
• John H Stroger Hospital of Cook County
• John H Stroger Hospital of Cook County

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.