John C Sarantopoulos, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

036094371 Issued in IL

Practice address

490 West Lake Street
Suite 105
Roselle, IL 60172-3500

Phone

(630) 924-1450

Fax

(630) 924-1459

NPI assigned

Aug 1, 2006

Last updated

Feb 26, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Ohio University, College of Osteopathic Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Advanced Physical Medicine Associates SC

  • Physical Medicine & Rehabilitation Physician
  • Roselle, IL
  • NPI 1487663241
  Medicare reassignment NPD Authorized official
• Advanced Physical Medicine Associates, S.C.

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1255447694
  Authorized official Same address or phone
• Advanced Physical Medicine Associates, S.C.

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1780721795
  Authorized official Same address or phone
• Advanced Physical Medicine Associates, SC

  • Physical Medicine & Rehabilitation Physician
  • Lyons, IL
  • NPI 1154571032
  NPD (past) Authorized official
• Advanced Physical Medicine Associates, SC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1508057092
  NPD (past) Authorized official
• Pro Sports & Spine Rehabilitation, SC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1811176894
  Authorized official Same address or phone

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1639185275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 WEST LAKE STREET",
            "address_2": "SUITE 105",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723500",
            "telephone_number": "630-924-1450",
            "fax_number": "630-924-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 WEST LAKE STREET",
            "address_2": "SUITE 105",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723500",
            "telephone_number": "630-924-1450",
            "fax_number": "630-924-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARANTOPOULOS",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036094371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "364374397",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME NUMBER",
            "identifier": "6206500001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• S & J Scooter Supply
• Janine Lynn Sabal, MA, CCC
• Saint Joseph Hospice, LLC
• Nofal Salman, FNP-C
• Kari L Sandy, LCSW
• Richard John Schmit, D.D.S.
• Elizabeth Schmits
• Ashley Schroeder, SLP
• Madison Karly Schuppert, M.A., CCC-SLP
• Holly Semtner

• Physical Medicine & Rehabilitation Physician in Roselle, IL
• Providers in Roselle, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.
• Medicare Care Compare (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.