Individual provider Active NPI

Jeffrey J Fitzer, MD.

  • Obstetrics & Gynecology Physician
  • Saint Joseph, MI
National Provider Identifier
1487664769
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036096056 Issued in IL
Practice address
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone
(269) 985-4632
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036096056 IL Primary
Obstetrics & Gynecology Physician 207V00000X 4301512959 MI

Addresses

Primary practice location

1234 Napier Ave
Saint Joseph, MI 49085-2112

Mailing address

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 985-4632

Other practice location 1

31 N Saint Joseph Ave
Niles, MI 49120-2207
Phone (269) 985-4632

Other practice location 2

755 N York St
Elmhurst, IL 60126-1607
Phone (331) 221-9006

Other practice location 3

3950 Hollywood Rd Ste 100
Saint Joseph, MI 49085-9151
Phone (269) 429-8010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfitzer126346@direct.edward.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070411000337 IL Practitioner - Obstetrics/GynecologyPractitioner - Pediatric Medicine 5991800492 Reassigns benefits to 3 organizations
I20241009003875 MI Practitioner - Obstetrics/Gynecology 5991800492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036096056ILMDObstetrics & Gynecology Physician
4301512959MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Nov 17, 2023 Accepting new patients
Erie Family Health Center, Inc Current Accepting new patients
Elmhurst Memorial Healthcare CurrentSince Oct 1, 2016 Accepting new patients
Erie Family Health Center Inc CurrentSince Jul 11, 2022 Accepting new patients
Lakeland Medical Practices CurrentSince Oct 2, 2024 Accepting new patients
Endeavor Health Medical Group Obstetrics & Gynecology CurrentSince Nov 17, 2023 Accepting new patients
Lakeland Medical Practices CurrentSince Oct 2, 2024 Accepting new patients
Erie Family Health Center Inc CurrentSince Jul 11, 2022 Accepting new patients
Adventist Health Partners, Inc Past Accepting new patients
Advocate North Side Health Network Past Accepting new patients

Locations

1504 S Albany Ave
Chicago, IL 60623

9532 Eagle Way
Chicago, IL 60678

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381

172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

701 Winthrop Ave
Glendale Hts, IL 60139
Phone (630) 312-2000

130 S Main St
Lombard, IL 60148
Phone (331) 221-5800

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

4201 Winfield Rd
Fl 4
Warrenville, IL 60555

31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 100
Saint Joseph, MI 49085
Phone (269) 429-0900

Interoperability endpoints

  • Direct secure messaging: jfitzer2888329@epic00.corewelldirect.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1487664769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 NAPIER AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852112",
            "telephone_number": "269-985-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 NAPIER AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852112",
            "telephone_number": "269-985-4632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 N Saint Joseph Ave",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "MI",
            "postal_code": "491202207",
            "country_code": "US",
            "telephone_number": "269-985-4632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 N York St",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601261607",
            "country_code": "US",
            "telephone_number": "331-221-9006",
            "fax_number": "331-221-2731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3950 Hollywood Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MI",
            "postal_code": "490859151",
            "country_code": "US",
            "telephone_number": "269-429-8010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZER",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036096056",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301512959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfitzer126346@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "755 N York St",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601261607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.