Individual provider Active NPI

Cesario Monsanto Cumba, M.D.

  • Family Medicine Physician
  • Morris, IL
National Provider Identifier
1811062300
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 03649033 IL Primary
Surgery Physician 208600000X 03649033 IL

Addresses

Primary practice location

219 Bedford Rd
Morris, IL 60450-1442

Mailing address

219 Bedford Rd
Morris, IL 60450-1442
Phone (815) 942-3000

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

State licenses

LicenseStateTypeSpecialty
03649033ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shahbain Internal Medicine LTD PastSince Nov 29, 2016 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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": []
}

Other providers in Morris, IL

Sources for this page

  • 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.