Individual provider Active NPI

Joseph Cyrus Ptasinski, M.D.

  • Obstetrics & Gynecology Physician
  • Hoffman Estates, IL
National Provider Identifier
1497896500
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Practice address
1555 Barrington Rd
Suite 335
Hoffman Estates, IL 60194-1019
Phone
(708) 337-0472
Fax
(847) 458-6133
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X IL Primary

Addresses

Primary practice location

1555 Barrington Rd
Suite 335
Hoffman Estates, IL 60194-1019

Mailing address

2110 Honey Locust Dr
Algonquin, IL 60102-5001
Phone (708) 337-0472

Other identifiers 1

IdentifierTypeStateIssuer
0306049251MedicaidIL

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-049251ILMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497896500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 HONEY LOCUST DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025001",
            "telephone_number": "708-337-0472",
            "fax_number": "847-458-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD",
            "address_2": "SUITE 335",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601941019",
            "telephone_number": "708-337-0472",
            "fax_number": "847-458-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PTASINSKI",
        "first_name": "JOSEPH",
        "middle_name": "CYRUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0306049251",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.