Individual provider Active NPI

Thomas G Pusateri, DC

  • Chiropractor
  • Hoffman Estates, IL
National Provider Identifier
1750465969
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0380003967 Issued in IL
Practice address
1560 W Algonquin Rd
Hoffman Estates, IL 60195-1575
Phone
(847) 934-4144
Fax
(847) 934-4159
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0380003967 IL Primary

Addresses

Primary practice location

1560 W Algonquin Rd
Hoffman Estates, IL 60195-1575

Mailing address

1560 W Algonquin Rd
Hoffman Estates, IL 60195-1575
Phone (847) 934-4144

Other identifiers 1

IdentifierTypeStateIssuer
616831OtherILMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071227000238 IL Practitioner - Chiropractic 6507946894 Practice locations: Hoffman Estates, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1580 W Algonquin Rd
Hoffman Estates, IL 60192-1575
Phone (847) 934-4144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0380003967ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Chiropractic Arts Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1750465969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 W ALGONQUIN RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601951575",
            "telephone_number": "847-934-4144",
            "fax_number": "847-934-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 W ALGONQUIN RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601951575",
            "telephone_number": "847-934-4144",
            "fax_number": "847-934-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSATERI",
        "first_name": "THOMAS",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "0380003967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "616831",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.