Individual provider Active NPI

Diane Gale Rapaport, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Lombard, IL
National Provider Identifier
1003024175
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
036064871 Issued in IL
Practice address
580 Waters Edge
Suite 100
Lombard, IL 60148-6430
Phone
(630) 495-8484
Fax
(630) 495-1598
NPI assigned
May 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 036064871 IL Primary

Addresses

Primary practice location

580 Waters Edge
Suite 100
Lombard, IL 60148-6430

Mailing address

2645 Crestwood LN
Riverwoods, IL 60015-1904
Phone (847) 374-1933

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referral@vitas.direct.kno2fy.com VITAS HEALTH SERVICES OF TEXAS, P.A.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140606001004 IL Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 0941424279 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036064871ILMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitas Health Services of Texas, P.a. Hospice and Palliative Medicine CurrentSince Mar 1, 2013 Accepting new patients

Locations

1340 S Damen Ave
Ste 200
Chicago, IL 60608
Phone (312) 997-7200

580 Waters Edge
Ste 100
Lombard, IL 60148
Phone (630) 495-8484

255 E 5th St
Ste 1050
Cincinnati, OH 45202

14651 Dallas Pkwy
Ste 811
Dallas, TX 75254

Interoperability endpoints

  • Direct secure messaging: referral@vitas.direct.kno2fy.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1003024175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 CRESTWOOD LN",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600151904",
            "telephone_number": "847-374-1933",
            "fax_number": "847-374-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 WATERS EDGE",
            "address_2": "SUITE 100",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486430",
            "telephone_number": "630-495-8484",
            "fax_number": "630-495-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPAPORT",
        "first_name": "DIANE",
        "middle_name": "GALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "036064871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referral@vitas.direct.kno2fy.com",
            "affiliation": "Y",
            "affiliationName": "VITAS HEALTH SERVICES OF TEXAS, P.A.",
            "address_1": "Crown Sterling Building",
            "address_2": "14651 North Dallas Parkway, Suite 811",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752547476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.