Active NPI
John Santilli, M.D.
- Specialist
- Shelton, CT
National Provider Identifier
1811961469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 017262
- Practice address
- 4 Corporate Dr
Ste 295
Shelton, CT 06484-6240 - Phone
- (203) 374-6103
- Fax
- (203) 374-1663
- NPI assigned
- Feb 13, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 017262 | CT | Primary |
Addresses
Primary practice location
4 Corporate Dr
Ste 295
Shelton, CT 06484-6240
Mailing address
130 Primrose LN
Fairfield, CT 06825-2307
Phone (203) 259-1055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001172626 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Center of Connecticut, PC | Current | Accepting new patients | |
| The Connecticut Dermatology Group PLLC | Past | Accepting new patients |
Locations
4675 Main St
Bridgeport, CT 06606
Phone (203) 374-6103
761 Main Ave
Ste 105
Norwalk, CT 06851
Phone (203) 374-6103
4 Corporate Dr
Ste 295
Shelton, CT 06484
Phone (203) 374-6103
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.
-
- Allergy & Immunology Physician
- Norwalk, CT
- NPI 1619115409
-
- Dermatology Physician
- Norwalk, CT
- NPI 1699881557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1811961469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 PRIMROSE LN",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068252307",
"telephone_number": "203-259-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CORPORATE DR",
"address_2": "STE 295",
"city": "SHELTON",
"state": "CT",
"postal_code": "064846240",
"telephone_number": "203-374-6103",
"fax_number": "203-374-1663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTILLI",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "017262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001172626",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.