Active NPI
Cynthia M. Troiano, DO
- Family Medicine Physician
- Champaign, IL
National Provider Identifier
1366450520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2016016020
- Practice address
- 1801 Windsor Rd
Champaign, IL 61822-6217 - Phone
- (217) 366-6101
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 03607617 | IL | |
| Family Medicine Physician | 207Q00000X | 2016016020 | MO | Primary |
Addresses
Primary practice location
1801 Windsor Rd
Champaign, IL 61822-6217
Mailing address
101 W University Ave
Champaign, IL 61820-3909
Phone (217) 366-1326
Other practice location 1
2505 Mission Dr
Jefferson City, MO 65109-9508
Phone (573) 761-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036076167 2 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03607617 | IL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1366450520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W UNIVERSITY AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203909",
"telephone_number": "217-366-1326",
"fax_number": "217-366-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 WINDSOR RD",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618226217",
"telephone_number": "217-366-6101"
}
],
"practiceLocations": [
{
"address_1": "2505 Mission Dr",
"address_purpose": "LOCATION",
"city": "Jefferson City",
"state": "MO",
"postal_code": "651099508",
"country_code": "US",
"telephone_number": "573-761-7000",
"fax_number": "573-659-2106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TROIANO",
"first_name": "CYNTHIA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "03607617",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2016016020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036076167 2",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.