Active NPI
Daniel G Danahey, MD, PHD
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Glen Ellyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 036102915
- Practice address
- 430 Pennsylvania Ave
Ste 330
Glen Ellyn, IL 60137-4464 - Phone
- (630) 469-9200
- NPI assigned
- Dec 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 036102915 | IL | |
| Otolaryngology Physician | 207Y00000X | 036102915 | IL | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 036102915 | IL | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 036102915 | IL | Primary |
Addresses
Primary practice location
430 Pennsylvania Ave
Ste 330
Glen Ellyn, IL 60137-4464
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036102915 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ddanahey11661@direct.edward.org | ||
| Direct Messaging Address | ddanahey11661@dulyhealthandcare.direct-ci.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Ohio State University College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (630) 469-9200
2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121
30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210
40 S Clay St
Hinsdale, IL 60521-3257
430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200
430 Warrenville Rd
Suite 210
Lisle, IL 60532-1348
Phone (630) 432-6180
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DMG Surgical Center LLC | Past | Accepting new patients |
Interoperability endpoints
- ddanahey11661@dulyhealthandcare.direct-ci.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Ambulatory Surgical Clinic/Center
- Lombard, IL
- NPI 1710924899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1063499754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 PENNSYLVANIA AVE",
"address_2": "STE 330",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601374464",
"telephone_number": "630-469-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANAHEY",
"first_name": "DANIEL",
"middle_name": "G",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "IL",
"license": "036102915",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036102915",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "IL",
"license": "036102915",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "IL",
"license": "036102915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036102915",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ddanahey11661@direct.edward.org",
"affiliation": "N",
"address_1": "430 Pennsylvania Ave",
"address_2": "Ste 330",
"city": "Glen Ellyn",
"state": "IL",
"country_code": "US",
"postal_code": "601374464",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ddanahey11661@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "430 Pennsylvania Ave",
"address_2": "Ste 330",
"city": "Glen Ellyn",
"state": "IL",
"country_code": "US",
"postal_code": "601374464",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.