Individual provider Active NPI

Casey S Sitko, D.C.

  • Chiropractor
  • Springfield, IL
National Provider Identifier
1114394640
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012871 Issued in IL
Practice address
205 N Grand Ave W
Springfield, IL 62702-2550
Phone
(217) 525-2035
NPI assigned
Sep 1, 2015
Last updated
Sep 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012871 IL Primary

Addresses

Primary practice location

205 N Grand Ave W
Springfield, IL 62702-2550

Mailing address

205 N Grand Ave W
Springfield, IL 62702-2550
Phone (217) 525-2035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150911000827 IL Practitioner - Chiropractic 6800103656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

205 N Grand W Ave
Springfield, IL 62702-2550
Phone (217) 525-2035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Sport Center Chiropractor CurrentSince Sep 9, 2015 Accepting new patients
Sitko Chiropractic 2, LLC Chiropractor PastSince Sep 9, 2015 Accepting new patients

Locations

205 N Grand Ave W
Springfield, IL 62702
Phone (217) 525-2035

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1114394640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N GRAND AVE W",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627022550",
            "telephone_number": "217-525-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N GRAND AVE W",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627022550",
            "telephone_number": "217-525-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITKO",
        "first_name": "CASEY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.