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Louis Thomas Distasio , LAC

Acupuncturist β€’ Springfield, IL

Active NPI 1629153085 Individual Practitioner Male Practitioner
Practice location in NPPES

716 S 2nd St.
Springfield, IL 62704

Call 2175448118 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

716 S 2nd St.

Springfield, IL 62704

Telephone 2175448118
Fax 2175448008
Organization at the Same NPPES Address or Phone
Acupuncture & Chiropractic Center Facility NPI 1336417724

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Springfield and Illinois

5 active clinicians are listed under Acupuncturist with a practice address in Springfield, IL (771 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-12-08
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

License # reported to NPPES IL 198000025

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Blue Cross Blue Shield
8482034 (IL)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location December 08, 2020

Registered at 716 S 2ND ST., SPRINGFIELD, IL 62704 (Tel: 2175448118)

πŸ“
Updated Business Mailing Address December 08, 2020

Registered at 716 S 2ND ST., SPRINGFIELD, IL 62704 (Tel: 2175448118)

πŸ‘€
Provider Name / Credentials Updated December 08, 2020

Recorded as LOUIS DISTASIO, L.AC.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2020

Acupuncturist (license number reported to NPPES: IL 198000025)

βœ…
NPI Profile Active December 13, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 13, 2011

Registered at 716 SOUTH SECOND STREET, SPRINGFIELD, IL 627042516 (Tel: 2175448118)

πŸ“
Business Mailing Address (Initial Record) December 13, 2011

Registered at 716 SOUTH SECOND STREET, SPRINGFIELD, IL 627042516 (Tel: 2175448118)

πŸ‘€
Provider Name / Credentials (Initial Record) December 13, 2011

Recorded as LOUIS DISTASIO, DC LAC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2011

Chiropractor (license number reported to NPPES: IL 038003935)

🟒
Initial NPI Registration & Enumeration October 26, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629153085
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2006
Last Update: December 08, 2020
Sole Proprietor: No

Mailing Address

716 S 2nd St.

Springfield, IL 62704

Phone: 2175448118

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.