Individual provider Active NPI

Amit Dayal, MD

  • Internal Medicine Physician
  • Hines, IL
National Provider Identifier
1205819877
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
5000 S 5TH Ave Hines VA
Department of Medicine 14TH Floor Mail Code 111
Hines, IL 60141-5000
Phone
(708) 202-5300
Fax
(708) 202-2195
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

5000 S 5TH Ave Hines VA
Department of Medicine 14TH Floor Mail Code 111
Hines, IL 60141-5000

Mailing address

5000 S 5TH Ave Hines VA
Department of Medicine 14TH Floor Mail Code 111
Hines, IL 60141-5000
Phone (708) 202-5300

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
I20130725000909 IL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5597713339

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1205819877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE HINES VA",
            "address_2": "DEPARTMENT OF MEDICINE 14TH FLOOR MAIL CODE 111",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601415000",
            "telephone_number": "708-202-5300",
            "fax_number": "708-202-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE HINES VA",
            "address_2": "DEPARTMENT OF MEDICINE 14TH FLOOR MAIL CODE 111",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601415000",
            "telephone_number": "708-202-5300",
            "fax_number": "708-202-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYAL",
        "first_name": "AMIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hines, IL

Sources for this page

Verify at the official NPI Registry.