Daniel B Cacioppo, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036111766 Issued in IL

Practice address

15 S McHenry Rd
Buffalo Grove, IL 60089-6705

Phone

(847) 618-0326

Fax

(847) 618-0762

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: dcacioppo10467@direct.nch.org
• FHIR API: https://epicprdproxy.nch.org/prd-fhir/api/FHIR/R4

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.

• Northwest Community Healthcare

  • Dental Clinic/Center
  • Arlington Heights, IL
  • NPI 1386815231
  NPD (past)
• Foothills Neurology P C

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1104857143
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1083662613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S MCHENRY RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896705",
            "telephone_number": "847-618-0326",
            "fax_number": "847-618-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MCHENRY RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896705",
            "telephone_number": "847-618-0326",
            "fax_number": "847-618-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACIOPPO",
        "first_name": "DANIEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036111766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111766",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcacioppo10467@direct.nch.org",
            "affiliation": "N",
            "address_1": "1450 Busch Parkway # 103",
            "city": "Buffalo Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taylor Burke, APN-CNP
• Carol Tashjian Burkhart, M.D.
• Nimra Burney
• Moira Priven Bushell, OTD, MED, OTR/L, BCP
• C3 Chiropractic Center Corp
• Cadence Physical Therapy Co
• Cynthia Maria Calabrese, PTA
• Margaret Julia Caldwell
• Susan Callahan
• Lauren Cameron, OTR/L

• Neurology Physician in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.