NPIMap

Individual provider Active NPI

John E De Persio, MD

  • Diagnostic Radiology Physician
  • Nashua, NH
National Provider Identifier
1487679270
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01048377 Issued in IN
Practice address
8 Prospect St
Nashua, NH 03060-3925
Phone
(603) 577-2000
NPI assigned
Jul 13, 2006
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA11511500 NJ
Diagnostic Radiology Physician 2085R0202X 01048377 IN Primary

Addresses

Primary practice location

8 Prospect St
Nashua, NH 03060-3925

Mailing address

195 N Harbor Dr Apt 3609
Chicago, IL 60601-7534
Phone (216) 575-4839

Other identifiers 1

IdentifierTypeStateIssuer
200172190MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NH, TN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190815001948 OH Practitioner - Diagnostic Radiology 5395631279 Reassigns benefits to 1 organization
I20210604002755 NH Practitioner - Diagnostic Radiology 5395631279
I20250617001403 TN Practitioner - Diagnostic Radiology 5395631279 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Middle Tennessee Imaging LLCGroup PAC ID 5698743706, 121 clinicians
Adi Radiology PCGroup PAC ID 7911236427, 153 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

28 White Bridge Pike
Suite 111
Nashville, TN 37205-1466
Phone (615) 356-3999

28 White Bridge Rd
Nashville, TN 37205-1466
Phone (615) 356-3999

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16227TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksville Imaging Center LLC Diagnostic Radiology CurrentSince May 12, 2025 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince May 12, 2025 Accepting new patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Jul 10, 2019 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince May 12, 2025 Accepting new patients

Locations

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

2320 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 645-1564

28 White Bridge Pike
Ste 104
Nashville, TN 37205

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

Interoperability endpoints

  • Direct secure messaging: jdepersio30316@ehrdirect.uhhospitals.org

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1487679270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 N HARBOR DR APT 3609",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017534",
            "telephone_number": "216-575-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PROSPECT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603925",
            "telephone_number": "603-577-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE PERSIO",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA11511500",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01048377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200172190",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.