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JOSHUA SANTUCCI MD
NPI 1568959526
Psychiatry & Neurology - Vascular Neurology in Evanston, IL

Active since April 16, 2018PECOS EnrolledAccepts Medicare Assignment
81.71/100
CMS Quality Rating
1000 CENTRAL ST., SUITE 880, EVANSTON, IL 60201(847) 570-2570(847) 733-5785 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2023, Apr 16, 2018 (2 updates tracked since 2018).

About Joshua Santucci Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSHUA SANTUCCI MD (NPI 1568959526) is an individual vascular neurology provider in Evanston, Illinois, licensed in Illinois (036176002) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1568959526
Entity TypeIndividualMale
Primary Taxonomy2084V0102X
Provider Legal NameJOSHUA SANTUCCICredential: MD
Location Address1000 CENTRAL ST., SUITE 880Evanston, IL 60201-1780
Mailing AddressCleveland Clinic 9500 Euclid AvenueCleveland, OH 44195-0001
Phone(847) 570-2570
Fax(847) 733-5785
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2017
Enumeration DateApril 16, 2018
Last NPPES UpdateJuly 18, 20252 updates tracked since enumeration
NPPES CertifiedJuly 18, 2025
✔ NPI 1568959526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084V0102X
Licenses✔ Licensed in IL · 036176002✔ Licensed in NJ · 25MA11868700
Definition
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 25MA11868700 (NJ)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1000 CENTRAL ST., Evanston, IL 60201
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1750 Brunswick AveTrenton, NJ 08638-4143 · Phone (609) 394-6000
Location 21 Capital WayPennington, NJ 08534-2520 · Phone (609) 303-4000
Location 32180 Pfingsten Rd., Suite 2000Glenview, IL 60026-1339 · Phone (847) 570-2570 · Fax (847) 503-2100
Location 4Cleveland Clinic 9500 Euclid AvenueCleveland, OH 44195-0001 · Phone (216) 444-2200
Location 55115 N. Francisco Ave., Chicago Brain and Spine InstituteChicago, IL 60625-3611 · Phone (773) 271-2225 · Fax (773) 271-1145

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joshua Santucci Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062769409
PECOS Enrollment IDI20250721001912
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Joshua Santucci reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endeavor Health Medical Group
Same address
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235
Cmc Department Of Medicine
673 mi
Internal Medicine
3 COOPER PLZ, SUITE 215
Camden, NJ 08103
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Cmc Department Of Medicine Group PA
  • 399 clinicians in this Medicare group
NPI 1104945005 (856) 963-2439
Capital Health Multispecialty Group
686 mi
Surgery
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 600 clinicians in this Medicare group
NPI 1083072342 (609) 394-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
82 services48 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
41 services41 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
32 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services24 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.07
Promoting Interoperability100
Improvement Activities40
Cost55.39

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EVORA JUANITA BRENT MD
Pediatrics (Developmental - Behavioral Pediatrics)
1000 CENTRAL ST., SUITE 800
EVANSTON, IL 60201
Cook County (847) 570-2577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joshua Santucci's NPI number?

The NPI number for Joshua Santucci is 1568959526. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Joshua Santucci located?

Joshua Santucci practices at 1000 Central St. Suite 880, Evanston, IL 60201. The listed phone number is (847) 570-2570.

What is Joshua Santucci's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Is Joshua Santucci enrolled in Medicare?

Yes. Joshua Santucci is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Joshua Santucci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Santucci reassigns Medicare benefits to 3 organizations: Endeavor Health Medical Group (Evanston, IL), Cmc Department Of Medicine (Camden, NJ) and Capital Health Multispecialty Group (Trenton, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joshua Santucci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Santucci accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Joshua Santucci as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joshua Santucci affiliated with any hospitals?

According to CMS data, Joshua Santucci is affiliated with Northshore University Healthsystem - Evanston Hospital and Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Santucci was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.