JOHN E DE PERSIO (MD) – Diagnostic Radiology Physician, NPI 1487679270

JOHN E DE PERSIO (MD) is a healthcare provider. based in Chicago, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 25MA11511500 (NJ). The NPI Number for JOHN E DE PERSIO (MD) is 1487679270

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
JOHN E DE PERSIO (MD)
NPI
1487679270
Phone
(216) 575-4839
Address
195 N HARBOR DR APT 3609
Enumeration Date
13 July 2006
Last Update Date
11 August 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
6158847674
Graduation Year
1980 (46 years ago)
PAC ID
5395631279
Group Practice PAC ID
5698743706
Professional Enrollment ID
I20250617001403
Address ID
TN370762581HE5045XBLVD404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

249 DIAGNOSTIC RADIOLOGY in NH

Provider Addresses for JOHN E DE PERSIO (MD)

  • 195 N HARBOR DR APT 3609

    CHICAGO, IL 606017534

    Phone: (216) 575-4839

    Type: Mailing

  • 8 PROSPECT ST

    NASHUA, NH 030603925

    Phone: (603) 577-2000

    Type: Location

  • 1007, Lincolnway, La Porte, LaPorte County, Indiana, 46350, United States

    LAPORTE, IN 463502301

    Phone: (219) 326-2305

    Fax: (219) 326-2605

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190815001948IDiagnostic RadiologyOHTBD
I20210604002755IDiagnostic RadiologyNHTBD
I20250617001403IDiagnostic RadiologyTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view957652$0
71046X-ray of chest, 2 views302292$0
74018X-ray of abdomen, 1 view128101$0
73502X-ray of hip, 2-3 views5757$0
73030X-ray of shoulder, minimum of 2 views4746$0
View full utilization report →

Insurance plans in this area (ZIP 60601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698743706View full group profile
NameSpecialtyState
-TN
Diagnostic RadiologyTN
Diagnostic RadiologyTN
Diagnostic RadiologyIL
Diagnostic RadiologyTN
Diagnostic RadiologyTN
Diagnostic RadiologyFL
Diagnostic RadiologyTN
Diagnostic RadiologyVA
Diagnostic RadiologyTN

Reviews

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Frequently asked questions

Where can patients find JOHN E DE PERSIO (MD)'s NPI?
You can confirm JOHN E DE PERSIO (MD) with NPI 1487679270; it appears in the national provider directory.
Is JOHN E DE PERSIO (MD)'s NPI currently valid?
The extract we use shows JOHN E DE PERSIO (MD) as active.
What kind of provider is JOHN E DE PERSIO (MD)?
The page reflects Diagnostic Radiology Physician for JOHN E DE PERSIO (MD). Clinical services aligned with this taxonomy classification.
Where does public data place JOHN E DE PERSIO (MD)?
The snapshot lists Chicago, Illinois for JOHN E DE PERSIO (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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