NPIMap

Individual provider Active NPI

John L Visconti, DO

  • Medical Oncology Physician
  • Shiloh, IL
National Provider Identifier
1033167846
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
036114479 Issued in IL
Practice address
1418 Cross St
Div Im Medical Oncology, Ste 180
Shiloh, IL 62269-2914
Phone
(618) 607-1340
Fax
(618) 622-9724
NPI assigned
May 4, 2006
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 036114479 IL Primary

Addresses

Primary practice location

1418 Cross St
Div Im Medical Oncology, Ste 180
Shiloh, IL 62269-2914

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (618) 607-1340

Other identifiers 1

IdentifierTypeStateIssuer
246964001MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051202000549 IL Practitioner - Hematology/Oncology 8921028143 Reassigns benefits to 1 organization
I20210218001425 MO Practitioner - Medical OncologyPractitioner - Internal Medicine 8921028143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

1404 Cross St
Shiloh, IL 62269-2988
Phone (314) 362-7200

2122 Troy Rd
Edwardsville, IL 62025-2540
Phone (314) 362-7200

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (314) 362-7200

5201 Mid America PLZ
Saint Louis, MO 63129-0002

5225 Mid America PLZ
Saint Louis, MO 63129-0002
Phone (800) 647-2098

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.01 of 100Reported as group
Quality
76.14
Promoting interoperability
99
Improvement activities
40
Cost
76.43

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Physicians in Illinois, Inc CurrentSince Feb 1, 2018 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Feb 1, 2018 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

2122 Troy Rd
Ste 140
Edwardsville, IL 62025

1418 Cross St
Ste 180
Shiloh, IL 62269
Phone (618) 607-1340

1404 Cross St
Shiloh, IL 62269
Phone (618) 607-1000

4000 N Illinois Ln
Ste C
Swansea, IL 62226
Phone (618) 233-8000

Interoperability endpoints

  • Direct secure messaging: jvisconti291470@direct.carenet.org

Organizations & group practices 4

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.

Hospital & facility affiliations 11

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1033167846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "618-607-1340",
            "fax_number": "618-622-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 CROSS ST",
            "address_2": "DIV IM MEDICAL ONCOLOGY, STE 180",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622692914",
            "telephone_number": "618-607-1340",
            "fax_number": "618-622-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCONTI",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IL",
            "license": "036114479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "246964001",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1418 Cross St",
            "address_2": "Div IM Medical Oncology, Ste 180",
            "city": "Shiloh",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622692914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shiloh, IL

Sources for this page

Verify at the official NPI Registry.