Active NPI
Merle A Piacenti, MD
- Diagnostic Radiology Physician
- Spring Valley, IL
National Provider Identifier
1194894311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036055141
- Practice address
- 600 E First Street
St Margarets Hospital
Spring Valley, IL 61362-1512 - Phone
- (815) 664-5311
- NPI assigned
- Nov 6, 2006
- Last updated
- Sep 24, 2013
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036055141 | IL | Primary |
Addresses
Primary practice location
600 E First Street
St Margarets Hospital
Spring Valley, IL 61362-1512
Mailing address
#8 US Rte 6 West
Peru, IL 61354-2943
Phone (815) 223-5288
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036055141 | Medicaid | IL | |
| 00615598 | Other | BCBS | |
| 663210 | Other | MEDICARE ID |
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 |
|---|---|---|---|
| 036055141 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cira Michigan PC | Diagnostic Radiology | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Spring Valley, IL
- NPI 1518002161
-
- Diagnostic Radiology Physician
- Escanaba, MI
- NPI 1972141513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1194894311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#8 US RTE 6 WEST",
"city": "PERU",
"state": "IL",
"postal_code": "613542943",
"telephone_number": "815-223-5288",
"fax_number": "815-220-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E FIRST STREET",
"address_2": "ST MARGARETS HOSPITAL",
"city": "SPRING VALLEY",
"state": "IL",
"postal_code": "613621512",
"telephone_number": "815-664-5311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIACENTI",
"first_name": "MERLE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036055141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036055141",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00615598",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "663210",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring Valley, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.