Active NPI
Daryn Abraham, M.D.
- Allergy & Immunology Physician
- St Charles, IL
National Provider Identifier
1104975770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 036102247
- Practice address
- 2210 Dean St Ste M
St Charles, IL 60175-1059 - Phone
- (630) 668-9610
- Fax
- (630) 668-9813
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- No
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.
-
- Allergy Physician
- St Charles, IL
- NPI 1396894812
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1932291101
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
Care Compare affiliation Hospital -
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allergy and Asthma Medical Associates LTD
Practice addresses (Care Compare)
389 S Schmale Rd
Carol Stream, IL 60188-2756
Phone (630) 206-1691
Hospital & facility affiliations
- Northwestern Medicine Delnor Community Hospital
- Northwestern Medicine Central Dupage Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070912000404 | IL | Practitioner - Allergy/Immunology | 0446343487 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036102247 | IL | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elgin Gastroenterology SC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 036102247 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2210 Dean St Ste M
St Charles, IL 60175-1059
Mailing address
389 S Schmale Rd
Carol Stream, IL 60188-2756
Phone (630) 668-9610
Other practice location 1
389 S Schmale Rd
Carol Stream, IL 60188-2756
Phone (630) 668-9610
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036102247 | Medicaid | IL |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 12, 2024.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1104975770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "389 S SCHMALE RD",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601882756",
"telephone_number": "630-668-9610",
"fax_number": "630-668-9813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 DEAN ST STE M",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601751059",
"telephone_number": "630-668-9610",
"fax_number": "630-668-9813"
}
],
"practiceLocations": [
{
"address_1": "389 S Schmale Rd",
"address_purpose": "LOCATION",
"city": "Carol Stream",
"state": "IL",
"postal_code": "601882756",
"country_code": "US",
"telephone_number": "630-668-9610",
"fax_number": "630-668-9813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABRAHAM",
"first_name": "DARYN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IL",
"license": "036102247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036102247",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.