Individual provider Active NPI

Daryn Abraham, M.D.

  • Allergy & Immunology Physician
  • St Charles, IL
National Provider Identifier
1104975770
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
036102247 Issued in IL
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
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 036102247 IL Primary

Addresses

Primary 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

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
I20070912000404 IL Practitioner - Allergy/Immunology 0446343487 Reassigns benefits to 1 organization

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 LTDGroup PAC ID 4082707120, 4 clinicians

Practice addresses (Care Compare)

389 S Schmale Rd
Carol Stream, IL 60188-2756
Phone (630) 206-1691

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036102247ILMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elgin Gastroenterology SC PastSince Aug 23, 2007 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.