Active NPI
Louis M Santangelo, DPM
- Foot & Ankle Surgery Podiatrist
- Niles, IL
National Provider Identifier
1922197649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016003075
- Practice address
- 8145 N Milwaukee Ave
Niles, IL 60714-2828 - Phone
- (847) 470-0555
- Fax
- (847) 470-0019
- NPI assigned
- Oct 12, 2006
- Last updated
- Dec 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016003075 | IL | Primary |
Addresses
Primary practice location
8145 N Milwaukee Ave
Niles, IL 60714-2828
Mailing address
8145 N Milwaukee Ave
Niles, IL 60714-2828
Phone (847) 470-0555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016003075 | Medicaid | IL | |
| 01632760 | Other | IL | BCBS |
| P00005546 | Other | IL | RAILROAD MEDICARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016003075 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul Santangelo DPM PC | Foot & Ankle Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Niles, IL
- NPI 1326074055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1922197649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8145 N MILWAUKEE AVE",
"city": "NILES",
"state": "IL",
"postal_code": "607142828",
"telephone_number": "847-470-0555",
"fax_number": "847-470-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8145 N MILWAUKEE AVE",
"city": "NILES",
"state": "IL",
"postal_code": "607142828",
"telephone_number": "847-470-0555",
"fax_number": "847-470-0019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTANGELO",
"first_name": "LOUIS",
"middle_name": "M",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016003075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016003075",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01632760",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00005546",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.