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
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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 4 clinicians

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 Hospital, Geneva, IL, CCN 140211
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
036102247ILMDAllergy & Immunology Physician

Practice roles

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
036102247MedicaidIL

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

Verify at the official NPI Registry.