Gregg Martin Delossantos

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005158 Issued in IL

Practice address

2839 W Madison St
Chicago, IL 60612-1925

Phone

(773) 533-5500

Fax

(773) 533-0945

NPI assigned

Jun 26, 2008

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Illinois Doctors on Demand

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1780148072

  IL

  Medicare reassignment NPD
• Rameshkumar C. Patel

  • Community/Retail Pharmacy
  • Chicago, IL
  • NPI 1174538763
  NPD (past)

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 7, 2023.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1184886517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39671 TREASURY CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606949600",
            "telephone_number": "773-533-5500",
            "fax_number": "773-533-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121925",
            "telephone_number": "773-533-5500",
            "fax_number": "773-533-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOSSANTOS",
        "first_name": "GREGG",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Delorenzo
• Chris Tara Bulaon Delos Reyes, M.D.
• Jessica Delos Reyes, CF-SLP
• Mark Delos Reyes
• Migdonia M Delos Santos, M.D.
• Pedro Delostrinos, MD
• Ariel Delraso, PHARM.D
• Aracely Delreal
• Michele Marie Delsignore, D.O.
• Delta Healthcare Inc

• All providers in Chicago, IL
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.

Verify at the official NPI Registry.