Active NPI
Joseph Anthony Lagattuta Jr., MD
- Gastroenterology Physician
- Carol Stream, IL
National Provider Identifier
1053388520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036065102
- Practice address
- 630 E North Ave Dept of
Carol Stream, IL 60188-2127 - Phone
- (630) 458-5300
- Fax
- (630) 307-2751
- NPI assigned
- Mar 3, 2006
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036065102 | IL | Primary |
Addresses
Primary practice location
630 E North Ave Dept of
Carol Stream, IL 60188-2127
Mailing address
630 E North Ave
Dept of Gi
Carol Stream, IL 60188
Phone (630) 458-5300
Other practice location 1
303 E Army Trl Rd
Ste 203
Bloomingdale, IL 60108
Phone (630) 307-2600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | joseph.lagattuta.1@380.direct.athenahealth.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036065102 | IL | MD | Gastroenterology Physician |
Interoperability endpoints
- joseph.lagattuta.1@380.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1053388520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 E NORTH AVE",
"address_2": "DEPT OF GI",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "60188",
"telephone_number": "630-458-5300",
"fax_number": "630-307-2751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 E NORTH AVE DEPT OF",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601882127",
"telephone_number": "630-458-5300",
"fax_number": "630-307-2751"
}
],
"practiceLocations": [
{
"address_1": "303 E Army Trl Rd",
"address_2": "Ste 203",
"address_purpose": "LOCATION",
"city": "Bloomingdale",
"state": "IL",
"postal_code": "60108",
"country_code": "US",
"telephone_number": "630-307-2600",
"fax_number": "630-307-2751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAGATTUTA",
"first_name": "JOSEPH",
"middle_name": "ANTHONY",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036065102",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "joseph.lagattuta.1@380.direct.athenahealth.com",
"affiliation": "N",
"address_1": "630 E North Ave Dept Of",
"city": "Carol Stream",
"state": "IL",
"country_code": "US",
"postal_code": "601882127",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Carol Stream, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.