Active NPI
Gino Diiorio, M.D.
- Diagnostic Radiology Physician
- Alton, IL
National Provider Identifier
1700847761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036085077
- Practice address
- 1 Saint Anthonys Way
Alton, IL 62002-4568 - Phone
- (618) 465-4520
- NPI assigned
- Mar 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036085077 | IL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | R5J71 | MO |
Addresses
Primary practice location
1 Saint Anthonys Way
Alton, IL 62002-4568
Mailing address
36 Garden Ctr
Broomfield, CO 80020-1730
Phone (303) 465-0401
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4399004 | Other | IL | MEDICARE ILL |
| 036085077-2 | Medicaid | IL | |
| 300030339 | Other | IL | RAILROAD MEDICARE |
| 206891210 | Medicaid | MO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiologic Physicians LTD | Diagnostic Radiology | Past | Accepting new patients |
| Advanced Medical Testing Systems, Inc. | Past | Accepting new patients | |
| Marion Hospital Corporation | Past | Accepting new patients | |
| Advanced Imaging Consultants LLC | Diagnostic Radiology | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Jerseyville, IL
- NPI 1114235603
-
dba Heartland Regional Medical Center
- General Acute Care Hospital
- Marion, IL
- NPI 1073584058
-
- Diagnostic Radiology Physician
- Alton, IL
- NPI 1821189168
-
dba The Imaging Center
- Mammography Clinic/Center
- Florissant, MO
- NPI 1578677142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297036800000",
"number": "1700847761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 GARDEN CTR",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201730",
"telephone_number": "303-465-0401",
"fax_number": "303-404-2317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT ANTHONYS WAY",
"city": "ALTON",
"state": "IL",
"postal_code": "620024568",
"telephone_number": "618-465-4520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIIORIO",
"first_name": "GINO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2011-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036085077",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "R5J71",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ILL",
"identifier": "4399004",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036085077-2",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300030339",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206891210",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.