Individual provider Active NPI

John Frederick Golan, MD

  • Vascular Surgery Physician
  • Northfield, IL
National Provider Identifier
1952452393
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
036059937 Issued in IL
Practice address
495 Central Ave
Suite 200
Northfield, IL 60093-3044
Phone
(847) 441-2700
Fax
(847) 441-9955
NPI assigned
Jan 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 036059937 IL Primary

Addresses

Primary practice location

495 Central Ave
Suite 200
Northfield, IL 60093-3044

Mailing address

495 Central Ave
Suite 200
Northfield, IL 60093-3044
Phone (847) 441-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
53.64 of 100Reported as group
Quality
20.75
Promoting interoperability
100
Improvement activities
0
Cost
74.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036059937ILMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Surgery Associates SC PastSince Jul 1, 2005 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.

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952452393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933044",
            "telephone_number": "847-441-2700",
            "fax_number": "847-441-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933044",
            "telephone_number": "847-441-2700",
            "fax_number": "847-441-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLAN",
        "first_name": "JOHN",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036059937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.