Individual provider Active NPI

Joseph A Giordano, DO

  • Family Medicine Physician
  • Naperville, IL
National Provider Identifier
1275520934
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036 058437 Issued in IL
Practice address
2007 95TH St
Ste 105
Naperville, IL 60564-8459
Phone
(630) 646-6920
Fax
(630) 646-6925
NPI assigned
Sep 28, 2005
Last updated
Jan 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036 058437 IL Primary

Addresses

Primary practice location

2007 95TH St
Ste 105
Naperville, IL 60564-8459

Mailing address

2007 95TH St
Ste 105
Naperville, IL 60564-8459
Phone (630) 646-6920

Other identifiers 1

IdentifierTypeStateIssuer
036058437 2MedicaidIL

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
036 058437ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures Family Medicine CurrentSince Apr 5, 1999 Accepting new patients
Edward Health Ventures CurrentSince Apr 5, 1999 Accepting new patients

Locations

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

2007 95th St
Ste 105
Naperville, IL 60564
Phone (630) 646-6920

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": "1127865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1275520934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 95TH ST",
            "address_2": "STE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648459",
            "telephone_number": "630-646-6920",
            "fax_number": "630-646-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 95TH ST",
            "address_2": "STE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648459",
            "telephone_number": "630-646-6920",
            "fax_number": "630-646-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIORDANO",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-28",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036 058437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036058437 2",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.