Individual provider Active NPI

Steven Tirabasso, D.C.

  • Chiropractor
  • St Charles, IL
National Provider Identifier
1932244456
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
40W222 Lafox Rd
Unit G1
St Charles, IL 60175-7625
Phone
(630) 762-9415
Fax
(630) 762-9416
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

40W222 Lafox Rd
Unit G1
St Charles, IL 60175-7625

Mailing address

40W222 Lafox Rd
Unit G1
St Charles, IL 60175-7625
Phone (630) 762-9415

Other identifiers 1

IdentifierTypeStateIssuer
0004532069OtherILBCBS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110310000993 IL Practitioner - Chiropractic 3375627060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Chicago Chiropractic and Sports Medicine LTDGroup PAC ID 9234366113, 3 clinicians

Practice addresses (Care Compare)

40 W222 Lafox Rd
Suite G1
St Charles, IL 60175-7625
Phone (630) 762-9415

7311 W Forest Preserve Ave
Chicago, IL 60634-3505
Phone (773) 625-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-009684ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Chicago Chiropractic and Sports Medicine LTD Chiropractor CurrentSince Aug 1, 2013 Accepting new patients
Body Solutions Chiropractic & Rehabilitation Ctr, LTD. Chiropractor CurrentSince Nov 1, 2002 Accepting new patients

Locations

7311 W Forest Preserve Ave
Chicago, IL 60634
Phone (773) 625-2424

40W222 Lafox Rd
Ste G1
St Charles, IL 60175
Phone (630) 762-9415

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932244456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W222 LAFOX RD",
            "address_2": "UNIT G1",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601757625",
            "telephone_number": "630-762-9415",
            "fax_number": "630-762-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W222 LAFOX RD",
            "address_2": "UNIT G1",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601757625",
            "telephone_number": "630-762-9415",
            "fax_number": "630-762-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRABASSO",
        "first_name": "STEVEN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0004532069",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.