Active NPI
Kerry Disanto, MD
- Neurology Physician
- Hinsdale, IL
National Provider Identifier
1386640878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036-088886
- Practice address
- 908 N Elm St
Ste 110
Hinsdale, IL 60521-3635 - Phone
- (630) 986-8770
- Fax
- (630) 986-8776
- NPI assigned
- Jun 21, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036-088886 | IL | Primary |
Addresses
Primary practice location
908 N Elm St
Ste 110
Hinsdale, IL 60521-3635
Mailing address
1860 Paysphere Cir
Chicago, IL 60674-0001
Phone (630) 986-8770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-088886 | Medicaid | IL |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-088886 | IL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurological Care Specialists SC | Neurology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neurology Physician
- Hinsdale, IL
- NPI 1396848768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1386640878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740001",
"telephone_number": "630-986-8770",
"fax_number": "630-986-8776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 N ELM ST",
"address_2": "STE 110",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213635",
"telephone_number": "630-986-8770",
"fax_number": "630-986-8776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISANTO",
"first_name": "KERRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036-088886",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-088886",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.