Active NPI
Ronald J Feldmann, MD
- Family Medicine Physician
- Sycamore, IL
National Provider Identifier
1508894312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036064074
- Practice address
- 954 West State Street
Sycamore, IL 60118 - Phone
- (815) 895-9144
- Fax
- (815) 899-4234
- NPI assigned
- Jun 29, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036064074 | IL | Primary |
Addresses
Primary practice location
954 West State Street
Sycamore, IL 60118
Mailing address
954 West State Street
Sycamore, IL 60118
Phone (815) 895-9144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036064074 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kishwaukee Community Health Services Center | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256688000000",
"number": "1508894312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "954 WEST STATE STREET",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "60118",
"telephone_number": "815-895-9144",
"fax_number": "815-899-4234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "954 WEST STATE STREET",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "60118",
"telephone_number": "815-895-9144",
"fax_number": "815-899-4234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMANN",
"first_name": "RONALD",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2009-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036064074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036064074",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.