Kristina Dakis
Individual provider Active NPI Family Medicine Physician · Hoopeston, IL
NPI 1013303890 · NPPES record last updated Aug 18, 2020
Key facts
- NPI
- 1013303890
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036.146067 (IL)
- Practice address
- 705 S Dixie Hwy
Hoopeston, IL 60942-1904 - Phone
- (217) 283-5530
- Fax
- (217) 283-6437
- NPI assigned
- Apr 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 19
Hospital & facility affiliations 23
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gibson Community Hospital Association
Practice addresses (Care Compare)
227 N Market St
Paxton, IL 60957-1123
Phone (217) 379-4864
Hospital & facility affiliations
- Gibson Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180820001756 | IL | Practitioner - Family Practice | 3678873924 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.146067 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibson Community Hospital Association | Current |
Accepting new patients | |
| Methodist Medical Center of Illinois | Single Specialty | Current |
Accepting new patients |
| Gibson Community Hospital Association | Family Medicine | Current |
Accepting new patients |
| Methodist Medical Center of Illinois | Single Specialty | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Single Specialty | Current |
Accepting new patients |
| Gibson Community Hospital Association | Single Specialty | Current | Accepting new patients |
| Gibson Community Hospital Association | Single Specialty | Past | Accepting new patients |
Locations
1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000
2535 E Washington St
East Peoria, IL 61611
Phone (309) 694-6464
7 Doctors Park
Gibson City, IL 60936
Phone (217) 784-5500
1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684
222 N Sangamon Ave
Gibson City, IL 60936
Phone (217) 748-8148
705 S Dixie Hwy
Hoopeston, IL 60942
Phone (217) 283-5530
227 N Market St
Paxton, IL 60957
Phone (217) 379-4864
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
120 NE Glen Oak Ave
Ste 400
Peoria, IL 61603
Phone (309) 671-3519
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
8914 N Knoxville Ave
Peoria, IL 61615
Phone (309) 691-9110
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
3915 Barring Trce
Peoria, IL 61615
Phone (309) 689-3030
815 Main St
Ste A1
Peoria, IL 61602
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
815 Main St
Peoria, IL 61602
Phone (309) 672-4908
1120 E War Memorial Dr
Peoria Hts, IL 61616
Phone (309) 685-1774
Interoperability endpoints
- kristina.dakis.p10@direct.gapho.nextgenshare.com
- kristina.dakis.p12@direct.gapho.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician |
207Q00000X | 036.146067 | IL | Yes |
Addresses
Primary practice location
705 S Dixie Hwy
Hoopeston, IL 60942-1904
Mailing address
1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 283-5530
Other practice location 1
1740 W Taylor St
Chicago, IL 60612-7232
Phone (866) 600-2273
Other practice location 2
815 Main St
Peoria, IL 61602-1076
Phone (309) 672-4984
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370647938 | Other | IL | MOLINA NUMBER |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kristina.dakis.p10@direct.gapho.nextgenshare.com | Direct |
Other providers in Hoopeston, IL
- Daniel Mark Chase
- Katherine C Clayton
- Community Health Partnership of Il
- Jessica Cook
- Deborah Mary Corey
- Larry H De Pedro
- Enlightened Health Now
- Frantz E Felix
- Gibson Community Hospital Association
- Sowmya Gurukar
All providers in Hoopeston, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.