Joshua A. Niebruegge, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036127134 Issued in IL

Practice address

4550 Memorial Dr
Ste. 340
Belleville, IL 62226-5372

Phone

(618) 257-6200

Fax

(618) 257-6679

NPI assigned

Jul 10, 2008

Last updated

Dec 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

96.63

Improvement activities

40

Cost

81.81

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cep America - Illinois SNF, LLP

  • Internal Medicine Physician
  • Belleville, IL
  • NPI 1073069415
  Medicare reassignment NPD
• Cep America-Illinois Hospitalists, LLP

  • Internal Medicine Physician
  • Belleville, IL
  • NPI 1841613403
  Medicare reassignment NPD
• Cep America - Illinois SNF LLP

  • Internal Medicine Physician
  • Edwardsville, IL
  • NPI 1043170434
  NPD
• Cep America - Illinois SNF, LLP

  • Internal Medicine Physician
  • Belleville, IL
  • NPI 1912453358
  NPD
• Cep America-Illinois Hospitalists

  • Hospitalist Physician
  • Bloomington, IL
  • NPI 1669276523
  NPD
• Cep America-Illinois Hospitalists, LLP

  • Hospitalist Physician
  • O'Fallon, IL
  • NPI 1720587918

  Internal Medicine

  NPD
• PC Associates LLC

  • Internal Medicine Physician
  • O'Fallon, IL
  • NPI 1235452855
  NPD (past)

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1710140645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST",
            "address_2": "STE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081844",
            "telephone_number": "510-851-7423",
            "fax_number": "510-879-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 MEMORIAL DR",
            "address_2": "STE. 340",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265372",
            "telephone_number": "618-257-6200",
            "fax_number": "618-257-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEBRUEGGE",
        "first_name": "JOSHUA",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036127134",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036127134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036127134",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nexus at Belleville, LLC
• Nexus Pavilion at Belleville, LLC
• Khai Ngo, MD
• Elizabeth Lee Nicholson, CRNA
• Pamela J Nicholson, RD, LDN
• Christopher Nier
• Jayne E. Ninness, LPTA
• Catherine Elizabeth Noble, M.D.
• Michael W Noble, D.M.D.
• Samantha Kay Noeth, MMSN

• Internal Medicine Physician in Belleville, IL
• Providers in Belleville, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.

Verify at the official NPI Registry.