Active NPI
Salvatore Antonio Fanto, MD
- Surgery of the Hand (Surgery) Physician
- Orland Park, IL
National Provider Identifier
1053435222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Surgery) Physician
- License
- 036076529
- Practice address
- 11304 W Distinctive Drive
Orland Park, IL 60462 - Phone
- (708) 479-0005
- Fax
- (708) 479-0022
- NPI assigned
- Mar 16, 2007
- Last updated
- Apr 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 036076529 | IL | Primary |
Addresses
Primary practice location
11304 W Distinctive Drive
Orland Park, IL 60462
Mailing address
PO Box 2087
Orland Park, IL 60462
Phone (708) 364-0075
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101011000495 | IL | Practitioner - Hand Surgery | 4880886753 | Practice locations: Orland Park, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11304 Distinctive Dr
Orland Park, IL 60467-9459
Phone (708) 364-0075
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 19 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1598756686
-
- General Acute Care Hospital
- Joliet, IL
- NPI 1760220198
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
dba Silver Cross Hospital
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1053435222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2087",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "60462",
"telephone_number": "708-364-0075",
"fax_number": "708-364-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11304 W DISTINCTIVE DRIVE",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "60462",
"telephone_number": "708-479-0005",
"fax_number": "708-479-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANTO",
"first_name": "SALVATORE",
"middle_name": "ANTONIO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "IL",
"license": "036076529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.