DR. JOHN PHILLIPPE BROADNAX M.D.
NPI 1457409104
Anesthesiology - Pain Medicine in Libertyville, IL

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
1880 W WINCHESTER RD STE 101, LIBERTYVILLE, IL 60048(847) 281-9543 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Phillippe Broadnax M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN PHILLIPPE BROADNAX M.D. (NPI 1457409104) is an individual pain medicine provider in Libertyville, Illinois, licensed in Illinois (036124156) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2004).

NPPES Registry Identity

NPI1457409104
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. JOHN PHILLIPPE BROADNAXCredential: M.D.
Location Address1880 W WINCHESTER RD STE 101Libertyville, IL 60048-5321
Mailing Address1015 S Mercer AveBloomington, IL 61701-7107
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2004
Enumeration DateJanuary 8, 2007
Last NPPES UpdateOctober 31, 2016
NPI 1457409104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in IL · 036124156
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 225876 (MA)
1880 W WINCHESTER RD STE 101, Libertyville, IL 60048

Other Identifiers 1

Medicare PINIL4818003IL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John Phillippe Broadnax M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456424209
PECOS Enrollment IDI20161122000719
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
523 services189 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
92 services90 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
71 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
71 services71 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
59 services50 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
56 services35 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Broadnax's NPI number?

The NPI number for John Broadnax is 1457409104. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is John Broadnax located?

John Broadnax practices at 1880 W Winchester Rd Ste 101, Libertyville, IL 60048. The listed phone number is (847) 281-9543.

What is John Broadnax's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is John Broadnax enrolled in Medicare?

Yes. John Broadnax is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Broadnax accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Molina Healthcare list John Broadnax as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Broadnax was last updated on October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.