Active NPI
Ali San, DO
- Student in an Organized Health Care Education/Training Program
- Chicago, IL
National Provider Identifier
1477357226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 555 W Kinzie St
Chicago, IL 60654-5727 - Phone
- (480) 347-7316
- NPI assigned
- Apr 2, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
555 W Kinzie St
Chicago, IL 60654-5727
Mailing address
2601 Troost Ave Unit 112
Kansas City, MO 64108-3268
Phone (480) 347-7316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250626001205 | IL | Order and Referring Only - Neurology | 5092227793 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- asan177579@uihealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1477357226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 TROOST AVE UNIT 112",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641083268",
"telephone_number": "480-347-7316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 W KINZIE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606545727",
"telephone_number": "480-347-7316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAN",
"first_name": "ALI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-02",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Genevieve San Nicolas, APRN, AGACNP-BC, DNP
- San Pablo Medical Center
- San Pablo Medical Center, LTD. (North Avenue Physicians Center, Division Physicians Center)
- Eva San Pedro-Koontz, LPC
- Brian San Pedro, PHARMD
- Sana Connections, LLC (Sana Connections)
- Sana Consulting LLC
- Sana Healing Collective
- Dean Dorian Sana, DDS
- Muhammad Khawar Sana, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.