Active NPI
Deepak P Edward, M.D.
- Glaucoma Specialist (Ophthalmology) Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Glaucoma Specialist (Ophthalmology) Physician
- License
- 036088088
- Practice address
- 1855 W Taylor St
Chicago, IL 60612-7242 - Phone
- (312) 996-7030
- NPI assigned
- Aug 9, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35090220 | OH | |
| Ophthalmology Physician | 207W00000X | 036088088 | IL | |
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | 036088088 | IL | Primary |
Addresses
Primary practice location
1855 W Taylor St
Chicago, IL 60612-7242
Mailing address
1855 W Taylor St
Chicago, IL 60612-7242
Phone (312) 996-6590
Other practice location 1
75 Arch St
Suite 204
Akron, OH 44304-1429
Phone (330) 375-7657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2770925 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dedward226265@direct.luhs.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.28 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036088088 | IL | MD | Ophthalmology Physician |
| 35090220 | OH | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients |
Locations
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582
1855 W Taylor St
#648
Chicago, IL 60612
Phone (312) 996-6582
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
1819 W Polk St
Chicago, IL 60612
Phone (312) 996-6604
Interoperability endpoints
- dedward17004@uihealth.direct-ci.com
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1144230293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127242",
"telephone_number": "312-996-6590",
"fax_number": "312-996-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127242",
"telephone_number": "312-996-7030"
}
],
"practiceLocations": [
{
"address_1": "75 Arch St",
"address_2": "Suite 204",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443041429",
"country_code": "US",
"telephone_number": "330-375-7657",
"fax_number": "330-375-7693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARD",
"first_name": "DEEPAK",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35090220",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036088088",
"primary": false
},
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "IL",
"license": "036088088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2770925",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dedward226265@direct.luhs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1855 W Taylor St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606127242",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 14, 2025; 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.