Mark A Pellegrini, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-007802 Issued in IL

Practice address

1104 N Vermilion St
Chittick Family Eye Care
Danville, IL 61832-3094

Phone

(217) 442-2631

Fax

(217) 442-0119

NPI assigned

Dec 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

64.15 of 100Reported as group

Quality

77.89

Improvement activities

40

Cost

10

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.pellegrini@direct.revolutionehr.com

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.

• Chittick Family Eye Care LTD

  dba Leon Optometric Clinic

  • Ophthalmology Physician
  • Danville, IL
  • NPI 1336246552

  Optometrist

  Medicare reassignment NPD

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1720065246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N VERMILION ST",
            "address_2": "CHITTICK FAMILY EYE CARE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323094",
            "telephone_number": "217-442-2631",
            "fax_number": "217-442-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N VERMILION ST",
            "address_2": "CHITTICK FAMILY EYE CARE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323094",
            "telephone_number": "217-442-2631",
            "fax_number": "217-442-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINI",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-007802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarunkumar Sharadchandra Patel, M.D.
• Melissa Patterson
• Madhavi Paturi
• Presley E Pearman, PA-C
• Pediatric Providers of Danville, LTD
• Nathalie Pelletier, D.C.
• Patrice Shanee Pelmore
• Austin Pena
• Beth Peralta, MS, RD, LDN
• Angela Peregud-Aksimentyeva, LCPC

• Optometrist in Danville, IL
• Providers in Danville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.