Active NPI
James Joseph Fedinec, M.D.
- Emergency Medicine Physician
- Sandwich, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0360983884
- Practice address
- 1302 N Main St
Sandwich, IL 60548 - Phone
- (815) 786-3720
- NPI assigned
- Nov 1, 2006
- Last updated
- Nov 15, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-098384 | IL | |
| Emergency Medicine Physician | 207P00000X | 0360983884 | IL | Primary |
Addresses
Primary practice location
1302 N Main St
Sandwich, IL 60548
Mailing address
1302 N Main St
Sandwich, IL 60548-2587
Phone (815) 786-3720
Other practice location 1
800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-4000
Other practice location 2
800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-4000
Other practice location 3
1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 748-2972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Rush Medical College of Rush University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1302 N Main St
Sandwich, IL 60548-2587
Phone (815) 786-8484
515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-098384 | IL | MD | Emergency Medicine Physician |
| 0360983884 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Public Hospital | Current | Accepting new patients | |
| Valley West Community Hospital | Current | Accepting new patients | |
| Valley West Community Hospital | Current | Accepting new patients | |
| Valley West Community Hospital | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Jackson County Public Hospital | Current | Accepting new patients |
Locations
601 Hospital Dr
Maquoketa, IA 52060
Phone (563) 652-2474
800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150
Dept 4698
Carol Stream, IL 60122
Dept 5777
Carol Stream, IL 60122
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
1302 N Main St
Sandwich, IL 60548
Phone (815) 486-8484
Organizations & group practices 8
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.
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Critical Access Hospital
- Sandwich, IL
- NPI 1184705931
-
- Critical Access Hospital
- Sandwich, IL
- NPI 1316002520
-
dba Jackson County Regional Health Center
- Critical Access Hospital
- Maquoketa, IA
- NPI 1912960758
-
- Critical Access Hospital
- Morrison, IL
- NPI 1184844938
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
dba Northwestern Medicine Valley West Hospital
- Medicare Defined Swing Bed Hospital Unit
- Sandwich, IL
- NPI 1336638915
-
dba Jackson County Regional Health Center
- Skilled Nursing Facility
- Maquoketa, IA
- NPI 1164486551
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Morrison, IL
- NPI 1184844938
-
- Critical Access Hospital
- Sandwich, IL
- NPI 1184705931
-
dba Jackson County Regional Health Center
- Critical Access Hospital
- Maquoketa, IA
- NPI 1912960758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1700963147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 N MAIN ST",
"city": "SANDWICH",
"state": "IL",
"postal_code": "605482587",
"telephone_number": "815-786-3720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 N MAIN ST",
"city": "SANDWICH",
"state": "IL",
"postal_code": "60548",
"telephone_number": "815-786-3720"
}
],
"practiceLocations": [
{
"address_1": "800 W Central Rd",
"address_purpose": "LOCATION",
"city": "Arlington Heights",
"state": "IL",
"postal_code": "600052349",
"country_code": "US",
"telephone_number": "847-618-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 W Central Rd",
"address_purpose": "LOCATION",
"city": "Arlington Heights",
"state": "IL",
"postal_code": "600052349",
"country_code": "US",
"telephone_number": "847-618-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Kish Hospital Dr",
"address_purpose": "LOCATION",
"city": "Dekalb",
"state": "IL",
"postal_code": "601159602",
"country_code": "US",
"telephone_number": "815-748-2972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEDINEC",
"first_name": "JAMES",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-098384",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "0360983884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandwich, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.