Active NPI
A Kurt Savegnago, MD
- Family Medicine Physician
- Canton, IL
National Provider Identifier
1003924085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036067859
- Practice address
- 180 S Main St
Canton, IL 61520-2608 - Phone
- (309) 647-0201
- Fax
- (309) 649-6880
- NPI assigned
- Aug 29, 2006
- Last updated
- Apr 15, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036067859 | IL | Primary |
Addresses
Primary practice location
180 S Main St
Canton, IL 61520-2608
Mailing address
180 S Main St
Canton, IL 61520-2608
Phone (309) 647-0201
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0062839 | Other | IL | UMWA |
| 013497 | Other | IL | HEALTH ALLIANCE |
| 02922981 | Other | IL | BCBS |
| 181864 | Other | IL | HEALTH LINK |
| 067859 | Other | IL | OSF HEALTHPLANS |
| 1942315197 | Other | IL | NPI CLINIC NUMBER |
| 200397 | Other | IL | BLACK LUNG |
| CG5172 | Other | IL | RR MEDICARE GROUP# |
| 080153181 | Other | IL | RR MEDICARE PIN |
| IL0117 | Other | IL | JOHN DEERE |
| 036067859 | Medicaid | IL |
Other names 1
- Allen Kurt Savegnago
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Graham Services Corporation | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1003924085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 S MAIN ST",
"city": "CANTON",
"state": "IL",
"postal_code": "615202608",
"telephone_number": "309-647-0201",
"fax_number": "309-649-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 S MAIN ST",
"city": "CANTON",
"state": "IL",
"postal_code": "615202608",
"telephone_number": "309-647-0201",
"fax_number": "309-649-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAVEGNAGO",
"first_name": "A",
"middle_name": "KURT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036067859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "0062839",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "013497",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "02922981",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH LINK",
"identifier": "181864",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OSF HEALTHPLANS",
"identifier": "067859",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI CLINIC NUMBER",
"identifier": "1942315197",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "200397",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP#",
"identifier": "CG5172",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "080153181",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "IL0117",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036067859",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALLEN",
"last_name": "SAVEGNAGO",
"middle_name": "KURT",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Canton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.