Individual provider Active NPI

Philip Paul Moscatel, D.C.

  • Chiropractor
  • Glen Ellyn, IL
National Provider Identifier
1972582898
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-006956 Issued in IL
Practice address
800 Roosevelt Rd Ste A14
Glen Ellyn, IL 60137-5800
Phone
(630) 469-4422
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-006956 IL Primary

Addresses

Primary practice location

800 Roosevelt Rd Ste A14
Glen Ellyn, IL 60137-5800

Mailing address

800 Roosevelt Rd Ste A14
Glen Ellyn, IL 60137-5800
Phone (630) 469-4422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040823000023 IL Practitioner - Chiropractic 4688648041 Practice locations: Wheaton, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 W Roosevelt Rd
B5 Suite 103
Wheaton, IL 60187-5247
Phone (630) 469-4422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-006956ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1972582898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD STE A14",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375800",
            "telephone_number": "630-469-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD STE A14",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375800",
            "telephone_number": "630-469-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCATEL",
        "first_name": "PHILIP",
        "middle_name": "PAUL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-006956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.