Individual provider Active NPI

Anthony P Giamberdino, MD

  • Anesthesiology Physician
  • St Charles, IL
National Provider Identifier
1902810385
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036-073904 Issued in IL
Practice address
2475 Dean St
St Charles, IL 60175-4831
Phone
(630) 584-9800
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036-073904 IL Primary

Addresses

Primary practice location

2475 Dean St
St Charles, IL 60175-4831

Mailing address

2475 Dean St
St Charles, IL 60175-4831
Phone (630) 584-9800

Other identifiers 1

IdentifierTypeStateIssuer
036073904MedicaidIL

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080104000533 IL Practitioner - Anesthesiology 8426143447 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-073904ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Ambulatory Surgery Center, LP Current Accepting new patients
Valley Ambulatory Surgery Center Anesthesiology LTD Anesthesiology CurrentSince Jan 1, 1987 Accepting new patients

Locations

2320 Dean St
Ste 103
St Charles, IL 60175

2210 Dean St
St Charles, IL 60175
Phone (630) 443-3397

2475 Dean St
St Charles, IL 60175
Phone (630) 584-9800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1902810385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 DEAN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601754831",
            "telephone_number": "630-584-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 DEAN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601754831",
            "telephone_number": "630-584-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMBERDINO",
        "first_name": "ANTHONY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036-073904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036073904",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.