NPIMap

Individual provider Active NPI

Daniel Daeyol So, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Arlington Heights, IL
National Provider Identifier
1023167004
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036107882 Issued in IL
Practice address
2101 S Arlington Heights Rd
111
Arlington Heights, IL 60005-4185
Phone
(847) 228-3200
Fax
(847) 228-3740
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036107882 IL Primary

Addresses

Primary practice location

2101 S Arlington Heights Rd
111
Arlington Heights, IL 60005-4185

Mailing address

2101 S Arlington Heights Rd
111
Arlington Heights, IL 60005-4185
Phone (847) 228-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101111000740 IL Practitioner - Endocrinology 2860437886 Reassigns benefits to 1 organization
I20220126002533 WI Practitioner - Endocrinology 2860437886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beloit Health System IncGroup PAC ID 8224947858, 138 clinicians
Suburban Endocrinology and DiabetesGroup PAC ID 8426946229, 9 clinicians

Practice addresses (Care Compare)

1905 E Huebbe Pkwy
Beloit, WI 53511-1842
Phone (608) 364-2200

2101 S Arlington Heights Rd
Suite 111
Arlington Heights, IL 60005-4197
Phone (847) 228-3200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036107882ILMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beloit Health System, Inc CurrentSince Jan 5, 2024 Accepting new patients
Beloit Health System Inc Endocrinology, Diabetes & Metabolism Current Accepting new patients
Suburban Endocrinology & Diabetes Endocrinology, Diabetes & Metabolism CurrentSince Oct 1, 2002 Accepting new patients
Beloit Health System, Inc CurrentSince Jan 5, 2024 Accepting new patients
Partners in Nephrology and Endocrinology, PC Past Accepting new patients
NPS Physicians Pittsburgh, LLC Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

2101 S Arlington Heights Rd
Arlington Heights, IL 60005
Phone (847) 228-3200

2101 S Arlington Heights Rd
Ste 111
Arlington Heights, IL 60005
Phone (847) 228-3200

1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/72674

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 7

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1023167004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S ARLINGTON HEIGHTS RD",
            "address_2": "111",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054185",
            "telephone_number": "847-228-3200",
            "fax_number": "847-228-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S ARLINGTON HEIGHTS RD",
            "address_2": "111",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054185",
            "telephone_number": "847-228-3200",
            "fax_number": "847-228-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SO",
        "first_name": "DANIEL",
        "middle_name": "DAEYOL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036107882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.