Active NPI
Devon Crushawn Buddan, MD
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036170174
- Practice address
- 1653 W Congress Pkwy
Chicago, IL 60612-3833 - Phone
- (312) 563-7739
- NPI assigned
- Apr 2, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036170174 | IL | Primary |
Addresses
Primary practice location
1653 W Congress Pkwy
Chicago, IL 60612-3833
Mailing address
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 563-7739
Other practice location 1
1620 W Harrison St
Chicago, IL 60612-3801
Phone (888) 352-7874
Other practice location 2
600 S Paulina St Ste 403
Chicago, IL 60612-3806
Phone (312) 942-7802
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 563-4270
520 S Maple Ave
Oak Park, IL 60304-1022
Phone (708) 660-6665
Hospital & facility affiliations
- Rush Oak Park Hospital
- Rush University Medical Center
- Community First Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036170174 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush Oak Park ER Physicians Group | Current | Accepting new patients | |
| Rush University Medical Center | Current | Accepting new patients | |
| Rush University Medical Group | Emergency Medicine | Current | Accepting new patients |
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients | |
| Community First Healthcare of Illinois, Inc. | Emergency Medicine | Current | Accepting new patients |
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
600 S Paulina St
Ste 403
Chicago, IL 60612
Phone (312) 942-0312
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
75 Remittance Dr
Dept 1620
Chicago, IL 60675
1620 W Harrison St
Chicago, IL 60612
Phone (312) 942-4200
520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300
Organizations & group practices 6
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Oak Park, IL
- NPI 1447260880
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
Emergency Medicine
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1881059897
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1053102269
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1962894675
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1184269425
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033214416
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1801475348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1653 W CONGRESS PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123833",
"telephone_number": "312-563-7739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 W CONGRESS PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123833",
"telephone_number": "312-563-7739"
}
],
"practiceLocations": [
{
"address_1": "1620 W Harrison St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123801",
"country_code": "US",
"telephone_number": "888-352-7874",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 S Paulina St Ste 403",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123806",
"country_code": "US",
"telephone_number": "312-942-7802",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUDDAN",
"first_name": "DEVON",
"middle_name": "CRUSHAWN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-02",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036170174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.