Active NPI
John G Fleischli, DPM
- Foot & Ankle Surgery Podiatrist
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016004737
- Practice address
- 2901 Old Jacksonville Rd Ste C
Springfield, IL 62704-7437 - Phone
- (217) 546-5949
- NPI assigned
- Jun 12, 2006
- Last updated
- Jan 26, 2024
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016004737 | IL | Primary |
Addresses
Primary practice location
2901 Old Jacksonville Rd Ste C
Springfield, IL 62704-7437
Mailing address
1745 W Walnut St
Jacksonville, IL 62650-6126
Phone (800) 532-6279
Other practice location 1
1745 W Walnut St
Jacksonville, IL 62650-6126
Phone (800) 532-6279
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016004737/4974780001 | Other | IL | MEDICARE DMERC |
| 326594/270056166 | Other | IL | HEALTHLINK PPO |
| 06932011 | Other | IL | BCBS OF ILLINOIS |
| HEALTH ALLIANCE | Other | IL | 030583 |
| 016004737 | Medicaid | IL | |
| P00027607/DA1788 | Other | IL | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfleischli104719@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 Old Jacksonville Rd
Suite B4
Springfield, IL 62704-7439
Phone (217) 698-9722
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 197 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016004737 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HSHS Prairie, Inc | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| HSHS Prairie, Inc | Current | Accepting new patients | |
| HSHS Medical Group Inc | Past | Accepting new patients | |
| HSHS Prairie, Inc | Past | Accepting new patients |
Locations
1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889
1515 W Walnut St
Ste 12
Jacksonville, IL 62650
Phone (217) 243-1101
1745 W Walnut St
Jacksonville, IL 62650
Phone (217) 243-6454
2901 Old Jacksonville Rd
Ste B4
Springfield, IL 62704
Phone (217) 241-3586
2901 Old Jacksonville Rd
Ste C
Springfield, IL 62704
Phone (217) 546-5949
3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321
Interoperability endpoints
- jfleischli104719@ewd.direct.hshs.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
dba HSHS Medical Group Family Medicine - Dieterich
- Rural Health Clinic/Center
- Dieterich, IL
- NPI 1033841192
-
- Internal Medicine Physician
- Springfield, IL
- NPI 1912330317
-
- Rural Health Clinic/Center
- Rushville, IL
- NPI 1487719480
-
dba HSHS Prairie Foot and Ankle - Jacksonville
- Durable Medical Equipment & Medical Supplies
- Jacksonville, IL
- NPI 1629465414
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HSHS St. John's Hospital
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1689616815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 W WALNUT ST",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626506126",
"telephone_number": "800-532-6279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 OLD JACKSONVILLE RD STE C",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627047437",
"telephone_number": "217-546-5949"
}
],
"practiceLocations": [
{
"address_1": "1745 W Walnut St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "IL",
"postal_code": "626506126",
"country_code": "US",
"telephone_number": "800-532-6279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEISCHLI",
"first_name": "JOHN",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016004737",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMERC",
"identifier": "016004737/4974780001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK PPO",
"identifier": "326594/270056166",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ILLINOIS",
"identifier": "06932011",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "030583",
"identifier": "HEALTH ALLIANCE",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016004737",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00027607/DA1788",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfleischli104719@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "1745 W Walnut St",
"city": "Jacksonville",
"state": "IL",
"country_code": "US",
"postal_code": "626506126",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.