Individual provider Active NPI

Jeffrey M Vanbendegom, M.D.

  • Emergency Medicine Physician
  • Racine, WI
National Provider Identifier
1477544427
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
43485 Issued in WI
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
43485OtherWIMD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071204000806 WI Practitioner - Emergency Medicine 9436248002 Reassigns benefits to 6 organizations

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
Emergency Medicine Associates of Madison, SCGroup PAC ID 2567455264, 17 clinicians

Practice addresses (Care Compare)

202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6206

Hospital & facility affiliations

  • Unitypoint Health - Meriter Hospital, Madison, WI, CCN 520089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43485WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard S Veiga MD SC Current Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Emergency Medicine Associates of Madison, SC Emergency Medicine CurrentSince Dec 1, 2008 Accepting new patients
Thedacare Medical Center - Berlin, Inc. Current Accepting new patients
Thedacare Medical Center - Wild Rose, Inc CurrentSince Feb 1, 2024 Accepting new patients
Thedacare Medical Center - New London, Inc CurrentSince Feb 1, 2024 Accepting new patients
Thedacare Medical Center - New London, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Feb 1, 2024 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.

View all 13

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.