Active NPI
Andrew Stephen Dalton, D.O
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 125-059419
- Practice address
- 7435 W Talcott Ave
Resurrection Em Residency
Chicago, IL 60631-3707 - Phone
- (773) 792-7921
- NPI assigned
- Jun 23, 2011
- Last updated
- Jun 23, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 125-059419 | IL | Primary |
Addresses
Primary practice location
7435 W Talcott Ave
Resurrection Em Residency
Chicago, IL 60631-3707
Mailing address
7435 W Talcott Ave
Resurrection Em Residency
Chicago, IL 60631-3707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5721 W 119TH St
Menorah Medical Center
Overland Park, KS 66209-3722
Phone (913) 498-6000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-059419 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of Mo, LLC | Emergency Medicine | Current | Accepting new patients |
| Midwest Division - LRHC LLC | Current | Accepting new patients | |
| Emergency Medicine Services of KS, PA | Emergency Medicine | Current | Accepting new patients |
| Medevac Midamerica Inc | Past | Accepting new patients |
Locations
13505 S Alden St
Olathe, KS 66062
Phone (913) 397-1000
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175
1500 State St
Lexington, MO 64067
Phone (660) 259-2203
403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- andrew.dalton@hca2.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Overland Park, KS
- NPI 1649979451
-
- Emergency Medicine Physician
- Independence, MO
- NPI 1023715182
-
dba Lafayette Regional Health Center
- Critical Access Hospital
- Lexington, MO
- NPI 1639362460
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Menorah Medical Center
- General Acute Care Hospital
- Overland Park, KS
- NPI 1255378337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1134415557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7435 W TALCOTT AVE",
"address_2": "RESURRECTION EM RESIDENCY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7435 W TALCOTT AVE",
"address_2": "RESURRECTION EM RESIDENCY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313707",
"telephone_number": "773-792-7921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "ANDREW",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-23",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "125-059419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.