Cesario Monsanto Cumba, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

03649033 Issued in IL

Practice address

219 Bedford Rd
Morris, IL 60450-1442

Phone

(815) 942-3000

Fax

(815) 942-2333

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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.

• Shahbain Internal Medicine LTD

  • Internal Medicine Physician
  • Palos Heights, IL
  • NPI 1295924439
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2010.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1811062300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 BEDFORD RD",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501442",
            "telephone_number": "815-942-3000",
            "fax_number": "815-942-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 BEDFORD RD",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501442",
            "telephone_number": "815-942-3000",
            "fax_number": "815-942-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMBA",
        "first_name": "CESARIO",
        "middle_name": "MONSANTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "03649033",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "03649033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossroads Counseling Services, PLLC
• Crossroads Counseling Services, PLLC
• Carimar Cruz
• Brooke Ashley Culen, PHARM.D
• Cheryl Cullison, RD LDN
• Kathleen Anne Cutler, OTRL
• Danielle Ann Czajkowski, LCSW
• Amber Dawn Datti
• David G Vermillion M D P C
• Amy M. Davis, L.C.P.C.

• All providers in Morris, IL
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.