JOHN BIREN-FETZ (DO) – Diagnostic Radiology Physician, NPI 1255821120

JOHN BIREN-FETZ (DO) is a healthcare provider. based in Chicago, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. R3011 (AZ). The NPI Number for JOHN BIREN-FETZ (DO) is 1255821120

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JOHN BIREN-FETZ (DO)
NPI
1255821120
Phone
(312) 996-8143
Address
1740 W TAYLOR ST # MC931
Enumeration Date
15 May 2018
Last Update Date
12 August 2024

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
2096690600
Graduation Year
2018 (8 years ago)
PAC ID
1456601483
Group Practice PAC ID
3678850922
Professional Enrollment ID
I20240521002182
Address ID
CA953821147TU3900XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:8State licenses:3Digital endpointsOther names

2,121 DIAGNOSTIC RADIOLOGY in IL

Provider Addresses for JOHN BIREN-FETZ (DO)

  • 1740 W TAYLOR ST # MC931

    CHICAGO, IL 606127232

    Phone: (312) 996-8143

    Type: Mailing

  • 1501 N Campbell Ave Rm 6336

    Tucson, AZ 857245040

    Phone: (520) 626-8818

    Type: Location

  • 1310 LAS TABLAS RD STE 103

    TEMPLETON, CA 934659746

    Phone: (805) 461-7080

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240521002182IDiagnostic RadiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60612)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678850922View full group profile
NameSpecialtyState
Diagnostic RadiologyCT
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyOH
Interventional RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
-CA
Diagnostic RadiologyCA

Reviews

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Frequently asked questions

Does JOHN BIREN-FETZ (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHN BIREN-FETZ (DO) uses 1255821120.
Does the file indicate JOHN BIREN-FETZ (DO) is practicing under active NPI?
Directory data currently reports JOHN BIREN-FETZ (DO) as active.
What healthcare role does JOHN BIREN-FETZ (DO) hold?
Scheduling teams often label JOHN BIREN-FETZ (DO) under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JOHN BIREN-FETZ (DO) on a map?
Expect Chicago, Illinois as a primary anchor for JOHN BIREN-FETZ (DO) unless the record lists multiple sites.
Why does JOHN BIREN-FETZ (DO) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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