Individual provider Active NPI

Kishore M Santwani

  • Neurology Physician
  • Geneva, IL
National Provider Identifier
1093803975
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036113867 Issued in IL
Practice address
302 Randall Rd Ste 204
Geneva, IL 60134-4219
Phone
(630) 208-7790
Fax
(630) 208-7791
NPI assigned
Oct 10, 2006
Last updated
Aug 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036113867 IL Primary

Addresses

Primary practice location

302 Randall Rd Ste 204
Geneva, IL 60134-4219

Mailing address

302 Randall Rd Ste 204
Geneva, IL 60134-4219
Phone (630) 208-7790

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
I20061221000461 IL Practitioner - Neurology 1557361573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

302 Randall Rd
Suite 204
Geneva, IL 60134-4209
Phone (630) 208-7790

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036113867ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Neurology Group, LLC CurrentSince Nov 1, 2006 Accepting new patients

Locations

302 Randall Rd
Ste 204
Geneva, IL 60134
Phone (630) 208-7790

302 Randall Rd
Ste 208
Geneva, IL 60134
Phone (630) 208-7790

Organizations & group practices 1

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 7

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1093803975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD STE 204",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344219",
            "telephone_number": "630-208-7790",
            "fax_number": "630-208-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD STE 204",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344219",
            "telephone_number": "630-208-7790",
            "fax_number": "630-208-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTWANI",
        "first_name": "KISHORE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036113867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.