Individual provider Active NPI

Diany Morales, M.D.

  • Ophthalmology Physician
  • Deerfield, IL
National Provider Identifier
1124054937
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036100283 Issued in IL
Practice address
740 Waukegan Rd
Suite 360
Deerfield, IL 60015-4374
Phone
(847) 945-6770
Fax
(847) 945-3159
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036100283 IL Primary

Addresses

Primary practice location

740 Waukegan Rd
Suite 360
Deerfield, IL 60015-4374

Mailing address

740 Waukegan Rd
Suite 360
Deerfield, IL 60015-4374
Phone (847) 945-6770

Other identifiers 2

IdentifierTypeStateIssuer
4932200OtherILBLUE CROSS BLUE SHIELD
036100283MedicaidIL

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
I20040318000344 IL Practitioner - Ophthalmology 2668362161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eye Center Physicians, LTD.Group PAC ID 2567411325, 36 clinicians
Ophthalmology Partners, LTD.Group PAC ID 0547392383, 4 clinicians

Practice addresses (Care Compare)

1725 W Harrison St
Suite 906
Chicago, IL 60612-3848
Phone (312) 942-5315

740 Waukegan Rd
Suite 360
Deerfield, IL 60015-4472
Phone 8479456770132

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery80

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Partners, LTD. Ophthalmology CurrentSince Jan 1, 2013 Accepting new patients
Retina Care, LLC Ophthalmology CurrentSince Feb 16, 2015 Accepting new patients
Eye Center Physicians, LTD. Ophthalmology CurrentSince Jul 1, 1999 Accepting new patients

Locations

1725 W Harrison St
Ste 906
Chicago, IL 60612
Phone (312) 733-7566

740 Waukegan Rd
Ste 360
Deerfield, IL 60015
Phone (708) 945-6770

917 Sherwood Dr
Ste 202
Lake Bluff, IL 60044
Phone (847) 234-4100

Interoperability endpoints

  • Direct secure messaging: dmorales3941@direct.rush.rush-health.com

Organizations & group practices 3

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 4

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1124054937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 WAUKEGAN RD",
            "address_2": "SUITE 360",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154374",
            "telephone_number": "847-945-6770",
            "fax_number": "847-945-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 WAUKEGAN RD",
            "address_2": "SUITE 360",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154374",
            "telephone_number": "847-945-6770",
            "fax_number": "847-945-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "DIANY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036100283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4932200",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100283",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

Verify at the official NPI Registry.