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Individual provider Active NPI

Christopher Camilleri, DO

  • Internal Medicine Physician
  • Burr Ridge, IL
National Provider Identifier
1295710044
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-131730 Issued in IL
Practice address
1000 Burr Ridge Pkwy Ste 201
Burr Ridge, IL 60527-0864
Phone
(312) 818-4650
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Toxicology (Emergency Medicine) Physician 207PT0002X 20A8436 CA
Internal Medicine Physician 207R00000X 036-131730 IL Primary
Internal Medicine Physician 207R00000X 20A8436 CA
Internal Medicine Physician 207R00000X 260285 MA

Addresses

Primary practice location

1000 Burr Ridge Pkwy Ste 201
Burr Ridge, IL 60527-0864

Mailing address

PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295
Phone (248) 266-4200

Other practice location 1

3132 Old Jacksonville Rd # 210
Springfield, IL 62704-7400
Phone (217) 862-0962

Other identifiers 1

IdentifierTypeStateIssuer
00AX84360OtherCAMEDICAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151125001960 IL Practitioner - Internal Medicine 5890724231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa PC 181 clinicians

Practice addresses (Care Compare)

Oakbrook Terrace, IL 60181
Phone (312) 818-4650

Hospital & facility affiliations

  • Integrity Home Healthcare, Inc Home health agency, Oak Lawn, IL, CCN 148255
  • Crystal Home Health Care, LLC Home health agency, Des Plaines, IL, CCN 148073
  • Better Care Home Health, Inc Home health agency, Schaumburg, IL, CCN 148227
  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281
  • Terraces at the Clare Nursing home, Chicago, IL, CCN 146141

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
71.79
Promoting interoperability
77
Improvement activities
40
Cost
75.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A8436CAMDMedical Toxicology (Emergency Medicine) Physician
036-131730ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Internal Medicine CurrentSince Nov 11, 2024 Accepting new patients
Vpa PC Internal Medicine CurrentSince Nov 11, 2024 Accepting new patients
Memorial Physician Services PastSince Mar 1, 2023 Accepting new patients

Locations

1000 Burr Ridge Pkwy
Ste 201
Burr Ridge, IL 60527
Phone (312) 818-4650

Interoperability endpoints

  • Direct secure messaging: christopher.camilleri.1@32913.direct.athenahealth.com

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1295710044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 93394",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "248-266-4200",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BURR RIDGE PKWY STE 201",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270864",
            "telephone_number": "312-818-4650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3132 Old Jacksonville Rd # 210",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627047400",
            "country_code": "US",
            "telephone_number": "217-862-0962",
            "fax_number": "217-527-3973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMILLERI",
        "first_name": "CHRISTOPHER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PT0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Medical Toxicology",
            "state": "CA",
            "license": "20A8436",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-131730",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A8436",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "260285",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00AX84360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.