NPIMap

Individual provider Active NPI

Daniel A Ivankovich, M.D.

  • Orthopaedic Surgery Physician
  • Chicago, IL
National Provider Identifier
1003864539
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036-105713 Issued in IL
Practice address
1044 N Francisco Ave Ste 203
Chicago, IL 60622-2743
Phone
(312) 527-6500
Fax
(800) 281-6952
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036-105713 IL Primary

Addresses

Primary practice location

1044 N Francisco Ave Ste 203
Chicago, IL 60622-2743

Mailing address

2516 Waukegan Rd # 183
Glenview, IL 60025-1774
Phone (773) 675-9900

Other identifiers 1

IdentifierTypeStateIssuer
036105713MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719001328 IL Practitioner - Orthopedic SurgeryPractitioner - Pain Management 6103805452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Pain Management
Education
Northwestern University Feinberg Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5025 N Paulina St
Methodist Hospital Clinic
Chicago, IL 60640-2772
Phone (773) 271-9040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Spinal fusion1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-105713ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Patient - Global Health Initiative LTD Orthopaedic Surgery Current Accepting new patients
Macneal Physicians Group LLC Orthopaedic Surgery Past Accepting new patients
West Suburban Hospital Medical Center Past Accepting new patients
Community First Healthcare of Illinois, Inc Past Accepting new patients
Nephrology Associates of Northern Illinois, LTD. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: daniel.ivankovich.1@2069.direct.athenahealth.com
  • Direct secure messaging: danielivankovich@cmis-il.direct.office.nextgen.com
  • FHIR API: https://proxy.cfmedicalcenter.com/FHIRProxyPRD/api/FHIR/DSTU2/

Organizations & group practices 6

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1003864539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 WAUKEGAN RD # 183",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251774",
            "telephone_number": "773-675-9900",
            "fax_number": "800-281-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N FRANCISCO AVE STE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222743",
            "telephone_number": "312-527-6500",
            "fax_number": "800-281-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVANKOVICH",
        "first_name": "DANIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036-105713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105713",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.