Joseph Thomas Capannari | NPI 1508307638

Key facts

NPI: 1508307638
Entity type: Individual (NPI type 1)
Primary specialty: Emergency Medicine Physician 207P00000X
License: 036153290 (IL)
Practice address: 20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone: (708) 747-4000
NPI assigned: Mar 8, 2017
Sex: Male
Sole proprietor: Yes

Organizations & group practices 3

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.

Foundation for Emergency Services Emergency Medicine Physician · Chicago, IL · NPI 1467468280

Medicare reassignment Care Compare group NPD IL · SINGLE SPECIALTY
Iems Physician Services PLLC Emergency Medicine Physician · Urbana, IL · NPI 1790544047

Care Compare group
Foundation for Emergency Services Primary Care Clinic/Center · Chicago, IL · NPI 1992053029

NPD

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

St. Bernard Hospital General Acute Care Hospital · Chicago, IL · NPI 1811034291

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Emergency Medicine
Education: Other, 2017
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Iems Physician Services PLLC (64 clinicians)
Foundation for Emergency Services (14 clinicians)

Practice addresses (Care Compare)

326 W 64TH St
Chicago, IL 60621-3114
Phone (773) 962-3900

Hospital & facility affiliations

St Bernard Hospital Hospital · Chicago, IL · CCN 140103

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20210813001453	IL	Practitioner - Emergency Medicine	9830469188	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Osteopathy

State licenses

License	State	Type	Specialty
036153290	IL	MD	Emergency Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Foundation for Emergency Services		Current since Jul 1, 2021	Accepting new patients
Foundation for Emergency Services	Single Specialty	Current since Jul 1, 2021	Accepting new patients

Locations

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Emergency Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	207P00000X	036153290	IL	Yes

Addresses

Primary practice location

20201 Crawford Ave
Olympia Fields, IL 60461-1010

Mailing address

326 W 64TH St
Chicago, IL 60621-3114
Phone (574) 286-6289

Other providers in Olympia Fields, IL

All providers in Olympia Fields, IL · Emergency Medicine Physician in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.