Active NPI
Jeffrey M Vanbendegom, M.D.
- Emergency Medicine Physician
- Racine, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 43485
- Practice address
- 3801 Spring St
Racine, WI 53405-1667 - Phone
- (262) 687-4479
- Fax
- (262) 687-5375
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 43485 | WI | Primary |
Addresses
Primary practice location
3801 Spring St
Racine, WI 53405-1667
Mailing address
3801 Spring St
Racine, WI 53405-1667
Phone (262) 687-4479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43485 | Other | WI | MD LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Medical College of Wisconsin, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6206
Hospital & facility affiliations
- Unitypoint Health - Meriter
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43485 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard S Veiga MD SC | Current | Accepting new patients | |
| Thedacare Medical Center - Shawano, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Current | Accepting new patients | |
| Emergency Medicine Associates of Madison, SC | Emergency Medicine | Current | Accepting new patients |
| Thedacare Medical Center - Berlin, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - Wild Rose, Inc | Current | Accepting new patients | |
| Thedacare Medical Center - New London, Inc | Current | Accepting new patients | |
| Thedacare Medical Center - New London, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - Waupaca, Inc. | Emergency Medicine | Current | Accepting new patients |
| Thedacare Medical Center - Berlin, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - Shawano, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - Waupaca, Inc. | Current | Accepting new patients | |
| Racine Emergency Physicians, S.C. | Emergency Medicine | Past | Accepting new patients |
Locations
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
202 S Park St
Madison, WI 53715
Phone (608) 267-6000
1405 Mill St
New London, WI 54961
Phone (920) 531-2000
100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000
601 Grove Ave
Wild Rose, WI 54984
Phone (888) 287-4488
Organizations & group practices 13
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.
-
- Emergency Medicine Physician
- Madison, WI
- NPI 1235119769
-
- Critical Access Hospital
- Berlin, WI
- NPI 1760413777
-
- Critical Access Hospital
- New London, WI
- NPI 1538127220
-
- Critical Access Hospital
- Shawano, WI
- NPI 1548260839
-
- Emergency Medicine Physician
- Waupaca, WI
- NPI 1780782680
-
- Critical Access Hospital
- Wild Rose, WI
- NPI 1043263999
-
- Anatomic Pathology & Clinical Pathology Physician
- Waupaca, WI
- NPI 1861434631
-
- Community/Retail Pharmacy
- Berlin, WI
- NPI 1043072291
-
- Anesthesiology Physician
- Berlin, WI
- NPI 1275943367
-
- Medicare Defined Swing Bed Hospital Unit
- New London, WI
- NPI 1639182926
-
- Community/Retail Pharmacy
- Shawano, WI
- NPI 1306516604
-
- Community/Retail Pharmacy
- Waupaca, WI
- NPI 1558031856
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Madison, WI
- NPI 1114920048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477544427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 SPRING ST",
"city": "RACINE",
"state": "WI",
"postal_code": "534051667",
"telephone_number": "262-687-4479",
"fax_number": "262-687-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 SPRING ST",
"city": "RACINE",
"state": "WI",
"postal_code": "534051667",
"telephone_number": "262-687-4479",
"fax_number": "262-687-5375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANBENDEGOM",
"first_name": "JEFFREY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "43485",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "43485",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.