Active NPI
Anna Maria Martusciello, D.C.
- Chiropractor
- Darien, IL
National Provider Identifier
1225107600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 038-005296 | IL | MD | Chiropractor |
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.