Active NPI
Patricia Panelli, MD
- Emergency Medicine Physician
- Morris, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036090961
- Practice address
- 100 Gore Rd
Morris, IL 60450-9466 - Phone
- (815) 364-8919
- NPI assigned
- Jul 28, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036090961 | IL | Primary |
Addresses
Primary practice location
100 Gore Rd
Morris, IL 60450-9466
Mailing address
725 School St Ste a
Morris, IL 60450-1207
Phone (815) 942-2932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161003000264 | IN | Practitioner - Emergency Medicine | 4789646522 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Current | Accepting new patients | |
| Prairie Emergency Services, SC | Emergency Medicine | Past | Accepting new patients |
| Suburban Emergency Physicians Group, SC | Emergency Medicine | Past | Accepting new patients |
Locations
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
10240 Calumet Ave
Munster, IN 46321
Phone (219) 440-5286
901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443
9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203
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.
-
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- Joliet, IL
- NPI 1497753917
Emergency Medicine
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1245210038
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586217600000",
"number": "1528068970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 SCHOOL ST STE A",
"city": "MORRIS",
"state": "IL",
"postal_code": "604501207",
"telephone_number": "815-942-2932",
"fax_number": "815-941-4363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GORE RD",
"city": "MORRIS",
"state": "IL",
"postal_code": "604509466",
"telephone_number": "815-364-8919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANELLI",
"first_name": "PATRICIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036090961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morris, IL
- Osf Multi-Specialty Group
- Therese J Osipavicius, P.T.A.
- Oswalt General Surgery, P.C.
- Ottawa Regional Hospital & Healthcare Center
- Jaime Palacios, LCSW
- Panoptic Health Service Inc
- Panoptic Home Care LLC
- Sapana A Parikh, D.M.D.
- Park Point Supportive Living LLC
- Park Pointe Healthcare & Rehabilitation Center,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.