Individual provider Active NPI

Phillip Pasquale Santoiemma, M.D.

  • Infectious Disease Physician
  • Chicago, IL
National Provider Identifier
1013301126
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036144097 Issued in IL
Practice address
676 N Saint Clair St Ste 940
Chicago, IL 60611-2945
Phone
(312) 926-8358
Fax
(312) 926-9630
NPI assigned
Mar 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 36144097 IL
Infectious Disease Physician 207RI0200X 036144097 IL Primary

Addresses

Primary practice location

676 N Saint Clair St Ste 940
Chicago, IL 60611-2945

Mailing address

676 N Saint Clair St Ste 940
Chicago, IL 60611-2945
Phone (312) 926-8358

Other practice location 1

25 N Winfield Rd Ste 507
Winfield, IL 60190-1379
Phone (630) 933-5518

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180523001872 IL Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - Hospitalist 6507163326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Perelman School of Med at the University of Pennsylvania, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

676 N Saint Clair St
Suite 940
Chicago, IL 60611-2945
Phone (312) 926-8358

Hospital & facility affiliations

  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036144097ILMDInfectious Disease Physician
36144097ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2018 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2018 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

680 N Lake Shore Dr
Chicago, IL 60611
Phone (312) 503-6000

259 E Erie St
Chicago, IL 60611

676 N Saint Clair St
Ste 940
Chicago, IL 60611
Phone (312) 926-8358

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

25 N Winfield Rd
Ste 507
Winfield, IL 60190
Phone (630) 933-5518

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1013301126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 940",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112945",
            "telephone_number": "312-926-8358",
            "fax_number": "312-926-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 940",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112945",
            "telephone_number": "312-926-8358",
            "fax_number": "312-926-9630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 N Winfield Rd Ste 507",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901379",
            "country_code": "US",
            "telephone_number": "630-933-5518",
            "fax_number": "630-933-4168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOIEMMA",
        "first_name": "PHILLIP",
        "middle_name": "PASQUALE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "36144097",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036144097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.