Active NPI
Christina Susi Deangelis, D.O.
- Emergency Medicine Physician
- Olympia Fields, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036.122452
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.2 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036.122452 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Central Florida LLP | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Orlando, FL
- NPI 1326033341
-
- General Acute Care Hospital
- Streator, IL
- NPI 1295732725
-
- Emergency Medicine Physician
- York, PA
- NPI 1972542850
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.