Individual provider Active NPI

Frank Adubato, DC

  • Chiropractor
  • Lincoln, IL
National Provider Identifier
1750336145
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007886 Issued in IL
Practice address
1625 N Union St
Lincoln, IL 62656-1169
Phone
(217) 732-1111
Fax
(217) 735-2744
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-007886 IL Primary

Addresses

Primary practice location

1625 N Union St
Lincoln, IL 62656-1169

Mailing address

1625 N Union St
Lincoln, IL 62656-1169
Phone (217) 732-1111

Other identifiers 3

IdentifierTypeStateIssuer
309119OtherILHEALTHLINK
05207367OtherILBLUE CROSS BLUE SHIELD
38007886MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040508000176 IL Practitioner - Chiropractic 4688663313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2200 N Kickapoo St
Suite 2
Lincoln, IL 62656-1390
Phone (217) 732-2149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-007886ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Healthcare and Physical Medicine SC Chiropractor CurrentSince Jan 11, 2010 Accepting new patients
Healthfirst Lincoln Inc Chiropractor Current Accepting new patients

Locations

2200 N Kickapoo St
Ste 2
Lincoln, IL 62656
Phone (217) 732-1111

1625 N Union St
Lincoln, IL 62656
Phone (217) 732-1111

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1750336145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 N UNION ST",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626561169",
            "telephone_number": "217-732-1111",
            "fax_number": "217-735-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N UNION ST",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626561169",
            "telephone_number": "217-732-1111",
            "fax_number": "217-735-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADUBATO",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "309119",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05207367",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38007886",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.