Individual provider Active NPI

Louis Dennis Santangelo, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Bourbonnais, IL
National Provider Identifier
1902130032
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.005389 Issued in IL
Practice address
435 S Main St
Bourbonnais, IL 60914-1918
Phone
(815) 933-1633
Fax
(847) 933-1728
NPI assigned
Sep 22, 2009
Last updated
May 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016.005389 IL Primary

Addresses

Primary practice location

435 S Main St
Bourbonnais, IL 60914-1918

Mailing address

435 S Main St
Bourbonnais, IL 60914-1918
Phone (815) 933-1633

Other identifiers 2

IdentifierTypeStateIssuer
P00945764OtherILRAILROAD MEDICARE
P00958793OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105001205 IL Practitioner - Podiatry 4082809819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humboldt Park HealthGroup PAC ID 8921907072, 106 clinicians
Louis D Santangelo DPM PCGroup PAC ID 6002080488, 2 clinicians

Practice addresses (Care Compare)

1044 N Mozart St
Suite 100
Chicago, IL 60622-3644
Phone (773) 292-8200

475 Brown Blvd
Suite 103a
Bourbonnais, IL 60914-2318
Phone (815) 933-1633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue37
Removal of skin lesions1-10
Removal of nail tissue108
Removal or shaving of skin growth14
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.005389ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt Park Health CurrentSince Apr 13, 2016 Accepting new patients
Louis D Santangelo DPM PC Foot & Ankle Surgery CurrentSince Sep 1, 2011 Accepting new patients
Vigilance Anesthesiologists & Pain Specialists PC Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
PCC Community Wellness Center Past Accepting new patients

Locations

435 S Main St
Bourbonnais, IL 60914
Phone (815) 933-1633

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

1044 N Mozart St
Ste 100
Chicago, IL 60622
Phone (773) 292-8300

1044 N Mozart St
Ste 203
Chicago, IL 60622
Phone (773) 292-8227

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1902130032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 S MAIN ST",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141918",
            "telephone_number": "815-933-1633",
            "fax_number": "847-933-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S MAIN ST",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141918",
            "telephone_number": "815-933-1633",
            "fax_number": "847-933-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANGELO",
        "first_name": "LOUIS",
        "middle_name": "DENNIS",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-22",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00945764",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00958793",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

Verify at the official NPI Registry.