CARL MICHAEL BARSANTI M.D.
NPI 1861450637
Internal Medicine in Lombard, IL

Q: What is Carl Barsanti's NPI number?

The NPI number for Carl Barsanti is 1861450637. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Q: What is Carl Barsanti's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Carl Barsanti was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment

2340 S HIGHLAND AVE, 230, LOMBARD, IL 60148(630) 932-2040(866) 932-1513 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Carl Michael Barsanti M.d. NPPES

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

CARL MICHAEL BARSANTI M.D. (NPI 1861450637) is an individual internal medicine provider in Lombard, Illinois and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1975).

NPPES Registry Identity

NPI1861450637

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameCARL MICHAEL BARSANTICredential: M.D.

Location Address2340 S HIGHLAND AVE, 230Lombard, IL 60148-5371

Mailing Address2340 S Highland Ave, 230Lombard, IL 60148-5371 · (630) 932-2040 · Fax (866) 932-1513

Phone(630) 932-2040

Fax(866) 932-1513

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1975

Enumeration DateMay 2, 2006

Last NPPES UpdateNovember 15, 2007

✔ NPI 1861450637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

2340 S HIGHLAND AVE, Lombard, IL 60148

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Other Identifiers 3

Other02215074IL · Blue Shield Provider Numb

Medicare UPIND15058IL

Medicare PIN695351IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Carl Michael Barsanti M.d. 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 ID4385682699

PECOS Enrollment IDI20070921000817

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

Medicare enrollment records show Carl Barsanti reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Pulmonary Associates S.C.

Same address

Internal Medicine

2340 S HIGHLAND AVE, 230
Lombard, IL 60148

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Midwest Pulmonary Associates Sc
5 clinicians in this Medicare group

NPI 1790743417 (630) 932-2040

Dhhs, Phs, Naihs, Shiprock Hospital

1,127 mi

General Acute Care Hospital

6 ROAD 7586
Bloomfield, NM 87413

Reassigned Medicare billing, Texas enrollment
572 clinicians in this Medicare group

NPI 1760427587 (505) 368-6401

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 15

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 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.

233 services74 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

155 services105 patients

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.

138 services60 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

128 services83 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

54 services53 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

53 services46 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

43 services42 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

41 services40 patients

Test to examine how well the lungs exchange gases 94729

40 services40 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

37 services37 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

23 services23 patients

Test to determine lung volumes using gas dilution or washout 94727

20 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services16 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

11 services11 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number140200

Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County

Emergency services Birthing friendly

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140258

Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County

Emergency services Birthing friendly

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140288

Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60148 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

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

11 suppliers60 claims60 services$33.00 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

8 suppliers48 claims48 services$66.65 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

8 suppliers50 claims146 services$25.27 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

6 suppliers25 claims149 services$14.53 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

7 suppliers38 claims38 services$47.01 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

11 suppliers53 claims53 services$13.96 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

7 suppliers22 claims22 services$10.55 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

11 suppliers81 claims471 services$1.66 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

5 suppliers17 claims17 services$5.23 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

9 suppliers43 claims43 services$10.85 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers39 claims39 services$15.56 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers22 claims22 services$906.68 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers14 claims14 services$8.35 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

5 suppliers49 claims49 services$28.13 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers106 claims106 services$65.07 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers45 claims45 services$30.88 avg. paid by Medicare

Durable medical equipment, miscellaneous E1399

DME-Medical/Surgical Supplies · category DA000N

1 supplier11 claims19 services$57.68 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

6 suppliers27 claims8,528 services$0.03 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

6 suppliers22 claims22 services$24.86 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

WESTERN REHABILITATION AND PAIN MANAGEMENT, S.C.

Physical Medicine & Rehabilitation

2340 S HIGHLAND AVE, SUITE 370
LOMBARD, IL 60148

Dupage County (630) 873-5425

DR. MARK SPACCAPANICCIA D.P.M.

Podiatrist

2340 S HIGHLAND AVE
LOMBARD, IL 60148

Dupage County (630) 495-3338

ADVENTIST HEALTH PARTNERS, INC

Family Medicine

2340 S HIGHLAND AVE, SUITE 370
LOMBARD, IL 60148

Dupage County (630) 620-9500

RONG SHANG TU M.D.

Internal Medicine

2340 S HIGHLAND AVE, 230
LOMBARD, IL 60148

Dupage County (630) 932-2040

AMAZEHEALTH WEIGHT LOSS & WELLNESS, SC

Physical Medicine & Rehabilitation

2340 S HIGHLAND AVE, SUITE 370
LOMBARD, IL 60148

Dupage County (630) 873-5245

RAVI MEDICAL GROUP SC

Internal Medicine

2340 S HIGHLAND AVE, SUITE 260
LOMBARD, IL 60148

Dupage County (630) 889-2000

DR. NICOLE S KOTT D.D.S

Dentist (General Practice)

2340 S HIGHLAND AVE, SUITE #320
LOMBARD, IL 60148

Dupage County (630) 932-2085

HILDA FAVELA M.A., CCC-SLP

Speech-Language Pathologist

2340 S HIGHLAND AVE, SUITE 300
LOMBARD, IL 60148

Dupage County (630) 261-1210

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 Carl Barsanti's NPI number?

The NPI number for Carl Barsanti is 1861450637. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Carl Barsanti located?

Carl Barsanti practices at 2340 S Highland Ave 230, Lombard, IL 60148. The listed phone number is (630) 932-2040.

What is Carl Barsanti's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carl Barsanti enrolled in Medicare?

Yes. Carl Barsanti 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 Carl Barsanti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Barsanti reassigns Medicare benefits to 2 organizations: Midwest Pulmonary Associates S.C. (Lombard, IL) and Dhhs, Phs, Naihs, Shiprock Hospital (Bloomfield, NM). 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 Carl Barsanti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Barsanti accept?

Health plans from Oscar Health list Carl Barsanti 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 Carl Barsanti affiliated with any hospitals?

According to CMS data, Carl Barsanti is affiliated with Elmhurst Memorial Hospital, Alexian Brothers Medical Center 1 and Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Carl Barsanti was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.