Individual provider Active NPI

Christina Susi Deangelis, D.O.

  • Emergency Medicine Physician
  • Olympia Fields, IL
National Provider Identifier
1942449715
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.122452 Issued in IL
Practice address
20201 S. Crawford Ave
Post Doc Education
Olympia Fields, IL 60461
Phone
(708) 747-4000
NPI assigned
Feb 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036.122452 IL Primary

Addresses

Primary practice location

20201 S. Crawford Ave
Post Doc Education
Olympia Fields, IL 60461

Mailing address

1307 S. Wabash Ave
Unit 601
Chicago, IL 60605
Phone (267) 235-6993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120615000584 FL Practitioner - Emergency Medicine 9739214354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.2 of 100Reported as group
Quality
78.64
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.122452ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Emergency Physicians of Central Florida LLP Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Emergency Medicine Physicians of York County, LTD Emergency Medicine Past Accepting new patients
St. Mary's Hospital Streator Hospital Sisters of the 3Rd Order St Fran Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1414 S Orange Ave
#112
Orlando, FL 32806
Phone (407) 767-1200

8300 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 359-6007

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

Organizations & group practices 4

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": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1942449715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 S. WABASH AVE",
            "address_2": "UNIT 601",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60605",
            "telephone_number": "267-235-6993",
            "fax_number": "312-341-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 S. CRAWFORD AVE",
            "address_2": "POST DOC EDUCATION",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "60461",
            "telephone_number": "708-747-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELIS",
        "first_name": "CHRISTINA",
        "middle_name": "SUSI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.122452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.