Individual provider Active NPI

Anna Maria Martusciello, D.C.

  • Chiropractor
  • Darien, IL
National Provider Identifier
1225107600
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
7702 S Cass Ave
Ste220
Darien, IL 60561-5093
Phone
(630) 493-9399
Fax
(630) 493-0950
NPI assigned
Nov 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

7702 S Cass Ave
Ste220
Darien, IL 60561-5093

Mailing address

7702 S Cass
Ste 220
Darien, IL 60561
Phone (630) 493-9399

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121106000334 IL Practitioner - Chiropractic 4284885906 Practice locations: Darien, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7702 Cass Ave
Suite 220
Darien, IL 60561-5533
Phone (630) 793-9399

7702 S Cass Ave
Suite 220
Darien, IL 60561-5533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-005296ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225107600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 S CASS",
            "address_2": "STE 220",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "60561",
            "telephone_number": "630-493-9399",
            "fax_number": "630-493-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 S CASS AVE",
            "address_2": "STE220",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615093",
            "telephone_number": "630-493-9399",
            "fax_number": "630-493-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTUSCIELLO",
        "first_name": "ANNA MARIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.