Individual provider Active NPI

Vivian H Diep, MD

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1093344913
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.166004 Issued in IL
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

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231009002709 IL Practitioner - Emergency Medicine 9335561943 Reassigns benefits to 4 organizations

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
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians

Practice addresses (Care Compare)

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100

Hospital & facility affiliations

  • Macneal Hospital Hospital, Berwyn, IL, CCN 140054
  • West Suburban Medical Center Hospital, Oak Park, IL, CCN 140049
  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304
  • Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.166004ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Apr 1, 2026 Accepting new patients
Humboldt Park Health Emergency Medicine, LLC Emergency Medicine CurrentSince Sep 6, 2025 Accepting new patients
Insight Chicago, Inc. CurrentSince Jan 27, 2024 Accepting new patients
Insight Chicago, Inc. CurrentSince Jan 27, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Apr 1, 2026 Accepting new patients
Illinois Emergency Medicine Specialists, LLC CurrentSince Aug 15, 2023 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.