Individual provider Active NPI

Ishan Dahal, MD

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1164927208
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036160503 Issued in IL
Practice address
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone
(888) 824-0200
NPI assigned
Mar 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD-50630 IA
Pediatrics Physician 208000000X 036160503 IL Primary

Addresses

Primary practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965

Other practice location 1

5510 Utica Ridge Rd Ste 100
Davenport, IA 52807-2935
Phone (563) 424-2025

Other practice location 2

1555 N Barrington Rd Lowr Level
Hoffman Estates, IL 60169-1019
Phone (224) 299-4222

Other practice location 3

1400 Pelham Pkwy S
Bronx, NY 10461-1138
Phone (309) 558-5193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241223002791 IL Practitioner - Pediatric Medicine 9638606171 Reassigns benefits to 3 organizations
I20250513003649 CA Practitioner - Pediatric Medicine 9638606171 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-50630IAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
The University of Chicago Medical Center CurrentSince Jun 20, 2025 Accepting new patients
Bonaventure Medical Foundation, LLC CurrentSince Jan 18, 2025 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Pediatrics CurrentSince Apr 21, 2025 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Apr 21, 2025 Accepting new patients
University of Chicago CurrentSince Jun 20, 2025 Accepting new patients
The University of Chicago Medical Center CurrentSince Jun 20, 2025 Accepting new patients
Sharp Rees-Stealy Medical Center Past Accepting new patients

Locations

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

5651 Copley Dr
San Diego, CA 92111
Phone (858) 262-6340

8701 Cuyamaca St
Santee, CA 92071
Phone (619) 568-8025

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

6501 S Promontory Dr
Chicago, IL 60649
Phone (773) 256-5724

1555 N Barrington Rd
Lowr
Hoffman Estates, IL 60169
Phone (224) 299-4222

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Interoperability endpoints

  • Direct secure messaging: ishan.dahal.1@11074.direct.athenahealth.com
  • Direct secure messaging: idahal1015842@direct.unitypoint.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1164927208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HARVESTER DR STE 300",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371443",
            "telephone_number": "888-824-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5510 Utica Ridge Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528072935",
            "country_code": "US",
            "telephone_number": "563-424-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 N Barrington Rd Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601691019",
            "country_code": "US",
            "telephone_number": "224-299-4222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Pelham Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104611138",
            "country_code": "US",
            "telephone_number": "309-558-5193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHAL",
        "first_name": "ISHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "MD-50630",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036160503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.