Homer Diadula, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036082531 Issued in IL

Practice address

157 Tomlin Cir
Burr Ridge, IL 60527-4886

Phone

(773) 237-3354

Fax

(630) 850-7306

NPI assigned

Dec 20, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Excellent Medical Associates, P.C.

  • General Practice Physician
  • Orland Park, IL
  • NPI 1215223623
  Medicare reassignment NPD
• Alqaim Medical Associates Inc

  • General Practice Physician
  • Orland Park, IL
  • NPI 1932961240
  NPD
• Gerimed S.C.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1548343825
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1134105232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 TOMLIN CIR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605274886",
            "telephone_number": "773-237-3354",
            "fax_number": "630-850-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 TOMLIN CIR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605274886",
            "telephone_number": "773-237-3354",
            "fax_number": "630-850-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIADULA",
        "first_name": "HOMER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036082531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082531",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "01621679",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yuting Tulip Deng, LCPC
• Camillia Depke
• Derick Dermatology, PLLC
• Amish Harish Desai, MD
• DFS, LLC
• Vishal Kumar Didwania, M.D.
• Cynthia Anne Digiacomo
• Shea Dignan
• Dik Drug Co
• Valerie Andrea Dipietro, LCSW

• Internal Medicine Physician in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.