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MARCO ANTONIO DISPAGNA MD
NPI 1851150577
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 15, 2024PECOS Enrolled
1950 W POLK ST, CHICAGO, IL 60612(312) 864-7311 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Marco Antonio Dispagna Md NPPES

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

MARCO ANTONIO DISPAGNA MD (NPI 1851150577) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851150577
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARCO ANTONIO DISPAGNACredential: MD
Location Address1950 W POLK STChicago, IL 60612-3723
Mailing Address1950 W Polk StChicago, IL 60612-3723 · (312) 864-7311
Phone(312) 864-7311
Sole ProprietorYes
Enumeration DateMarch 15, 2024
Last NPPES UpdateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1851150577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1950 W POLK ST, Chicago, IL 60612
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marco Antonio Dispagna Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

DR. PETRINA CHINO D.P.M.
Podiatrist (Foot & Ankle Surgery)
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-2245
CHRISTOPHER PAYNE
Nurse Anesthetist, Certified Registered
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-6000
SHARAN HARISH MALKANI MD
Internal Medicine
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-7311
ATHINA SIMOTAS DO
Ophthalmology
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. MOUNIKA LAKSHMI ALLAM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1950 W POLK ST, SUITE 4811, JOHN H STROGER HOSPITAL OF COOK COUNTY
CHICAGO, IL 60612
Cook County (312) 864-0200
MRS. ANU NAVEEN CYRIAC APRN
Family Medicine
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-7000
NATALIE MAINLAND
Urology
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-0395
DR. KIARA DANIELLE WHITE MD
Family Medicine
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-2855

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 Marco Dispagna's NPI number?

The NPI number for Marco Dispagna is 1851150577. It was assigned to this individual provider in the NPPES registry on March 15, 2024.

Where is Marco Dispagna located?

Marco Dispagna practices at 1950 W Polk St, Chicago, IL 60612. The listed phone number is (312) 864-7311.

What is Marco Dispagna's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Marco Dispagna enrolled in Medicare?

Yes. Marco Dispagna is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marco Dispagna was last updated on June 5, 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.