Active NPI
Daniel James Deligio, O.D.
- Optometrist
- Downers Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046011004
- Practice address
- 3450 Lacy Road
Downers Grove, IL 60515 - Phone
- (630) 743-4500
- NPI assigned
- May 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046011004 | IL | Primary |
Addresses
Primary practice location
3450 Lacy Road
Downers Grove, IL 60515
Mailing address
3450 Lacy Road
Downers Grove, IL 60515
Phone (630) 743-4967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046011004 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3450 Lacey Rd
Downers Grove, IL 60515-5430
Phone (630) 743-4500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046011004 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama at Birmingham | Current | Accepting new patients | |
| University of Alabama at Birmingham | Current | Accepting new patients | |
| The University of Alabama at Birmingham | Optometrist | Current | Accepting new patients |
| Midwestern University | Optometrist | Past | Accepting new patients |
Locations
1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899
1716 University Blvd
Birmingham, AL 35294
Interoperability endpoints
- ddeligio18647@direct.midwestern.edu
- daniel.deligio.p1@direct.midwesternuniversity.nextgenshare.com
Organizations & group practices 5
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.
-
dba MWU Multispecialty Clinic Downers Grove
- Clinic/Center
- Downers Grove, IL
- NPI 1538445317
-
dba UAB Health Center Montgomery
- Internal Medicine Physician
- Montgomery, AL
- NPI 1184738478
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
-
dba Midwestern University Multispecialty Clinic
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1932206414
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1043698715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 LACY ROAD",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "60515",
"telephone_number": "630-743-4967",
"fax_number": "630-743-4537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 LACY ROAD",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "60515",
"telephone_number": "630-743-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELIGIO",
"first_name": "DANIEL",
"middle_name": "JAMES",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-13",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046011004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046011004",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.