Antonio Fiumara, M.D.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

036086999 Issued in IL

Practice address

900 Jorie Blvd
Suite 186
Oak Brook, IL 60523-2213

Phone

(630) 954-6700

Fax

(630) 954-1555

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: antoniofiumara@jph.medalliesdirect.net

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.

• Freeport Memorial Hospital

  • General Acute Care Hospital
  • Freeport, IL
  • NPI 1447228788
  Medicare reassignment NPD
• Freeport Regional Health Care Foundation

  • Family Medicine Physician
  • Freeport, IL
  • NPI 1457337016
  Medicare reassignment NPD
• Jackson Park Hospital Foundation

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1497750699
  NPD
• Midwest Neoped Associates LTD

  • Specialist
  • Oak Brook, IL
  • NPI 1396792180
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1821035395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JORIE BLVD",
            "address_2": "SUITE 186",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232213",
            "telephone_number": "630-954-6700",
            "fax_number": "630-954-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JORIE BLVD",
            "address_2": "SUITE 186",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232213",
            "telephone_number": "630-954-6700",
            "fax_number": "630-954-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIUMARA",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IL",
            "license": "036086999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086999",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN - 645650",
            "identifier": "L76270",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Peter Fisher, PSY.D.
• Miriam Fishman, PSY.D.
• Arely Fitz
• Kimberly Jean Fitzgerald-Amend, LPC
• Teresa Fitzgerald, LMFT
• Paul Joseph Flaherty, LCSW
• Regino John Flora, O.D.
• Maria Michelle Flynn, PHYSICAL THERAPIST
• Anna Fogarty, PSY.D.
• Food First Nutrition LLC

• Neonatal-Perinatal Medicine Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Neonatal-Perinatal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.

Verify at the official NPI Registry.