Active NPI
Vivian H Diep, MD
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036.166004
- Practice address
- 4646 N Marine Dr
Chicago, IL 60640-5759 - Phone
- (773) 878-8700
- NPI assigned
- Apr 2, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036.166004 | IL | Primary |
Addresses
Primary practice location
4646 N Marine Dr
Chicago, IL 60640-5759
Mailing address
740 N Aberdeen St Apt 1113
Chicago, IL 60642-6074
Phone (612) 859-4657
Other practice location 1
4301 W Markham St # 584
Little Rock, AR 72205-7101
Phone (501) 686-6993
Other practice location 2
1 Childrens Way # 584
Little Rock, AR 72202-3500
Phone (501) 686-6993
Other practice location 3
3 Erie Ct
Oak Park, IL 60302-2519
Phone (708) 383-6200
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
- Emergency Medicine
- Education
- Texas a & M University System, HSC, College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100
Hospital & facility affiliations
- Macneal Hospital
- West Suburban Medical Center
- Uchicago Medicine Adventhealth Hinsdale
- Uchicago Medicine Adventhealth Bolingbrook
- Uchicago Medicine Adventhealth la Grange
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.166004 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Humboldt Park Health Emergency Medicine, LLC | Emergency Medicine | Current | Accepting new patients |
| Insight Chicago, Inc. | Current | Accepting new patients | |
| Insight Chicago, Inc. | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Illinois Emergency Medicine Specialists, LLC | Current | Accepting new patients | |
| Insight Chicago, Inc. | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1104592120
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bolingbrook, IL
- NPI 1003150962
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1881261006
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Emergency Medicine Physician
- Decatur, IL
- NPI 1962279380
-
- Rehabilitation Hospital Unit
- Chicago, IL
- NPI 1154308518
-
- Psychiatric Hospital Unit
- Chicago, IL
- NPI 1043297401
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolingbrook, IL
- NPI 1164530465
-
- General Acute Care Hospital
- Hinsdale, IL
- NPI 1265465439
-
- General Acute Care Hospital
- La Grange, IL
- NPI 1407889652
-
- Psychiatric Hospital Unit
- Hinsdale, IL
- NPI 1447270780
-
- Rehabilitation Hospital Unit
- La Grange, IL
- NPI 1588068274
-
- General Acute Care Hospital
- Berwyn, IL
- NPI 1295710580
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1619442266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1093344913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 N ABERDEEN ST APT 1113",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606426074",
"telephone_number": "612-859-4657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 N MARINE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405759",
"telephone_number": "773-878-8700"
}
],
"practiceLocations": [
{
"address_1": "4301 W Markham St # 584",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-686-6993",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Childrens Way # 584",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722023500",
"country_code": "US",
"telephone_number": "501-686-6993",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 Erie Ct",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603022519",
"country_code": "US",
"telephone_number": "708-383-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIEP",
"first_name": "VIVIAN",
"middle_name": "H",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-02",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036.166004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.