Dawn R Hackel, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016004903 Issued in IL

Practice address

153 N 19TH Ave
Melrose Park, IL 60160-3702

Phone

(708) 344-4300

Fax

(708) 344-4358

NPI assigned

Aug 3, 2006

Last updated

Sep 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: dawnhackel@drhdp-il.direct.office.nextgen.com

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.

• Dawn R Hackel DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Melrose Park, IL
  • NPI 1841308343
  Medicare reassignment NPD Authorized official
• Advanced Surgical Specialists Inc

  • Foot & Ankle Surgery Podiatrist
  • Hoffman Estates, IL
  • NPI 1326084245
  NPD (past)
• County of Lake

  dba Lake County Health Department and Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Round Lake, IL
  • NPI 1639588254
  NPD (past)
• Thomas Valente M.D., P.a.

  dba Thomas Valente M.D., S.C.

  • Pain Medicine (Anesthesiology) Physician
  • Chicago, IL
  • NPI 1952505190
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1124036546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 N 19TH AVE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603702",
            "telephone_number": "708-344-4300",
            "fax_number": "708-344-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 N 19TH AVE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603702",
            "telephone_number": "708-344-4300",
            "fax_number": "708-344-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKEL",
        "first_name": "DAWN",
        "middle_name": "R",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "5047180002",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA6978",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inbar Greenfeld-Tairy, PSYD.
• William G Grehan, MD
• Mayte Guerra, PSYD
• Denise Guerrero
• Qian Guo, M.D
• Hai Solomon M.D.S.C.
• Shaniquia Hall, MHP
• Halsted & 79TH St. Pharmacy Inc. (Broadway Ave Pharmacy)
• Hands and Heart Home Health, Inc
• Judyta Joanna Hankus, PT, DPT

• Podiatrist in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.

Verify at the official NPI Registry.