Individual provider Active NPI

Daniel Anjin Hidaka, M.D.

  • Internal Medicine Physician
  • Glenview, IL
National Provider Identifier
1215190764
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036122562 Issued in IL
Practice address
2501 Compass Rd Ste 140
Glenview, IL 60026-8000
Phone
(855) 947-7371
Fax
(312) 284-4124
NPI assigned
Jul 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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 036122562 IL Primary

Addresses

Primary practice location

2501 Compass Rd Ste 140
Glenview, IL 60026-8000

Mailing address

2501 Compass Rd Ste 140
Glenview, IL 60026-8000
Phone (855) 947-7371

Other identifiers 3

IdentifierTypeStateIssuer
036122562OtherILBCBS
036122562MedicaidIL
909980006OtherILMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Daniel.Hidaka@27209220882436.direct.elationemr.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2020 through Apr 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harper Health Streeterville Current Accepting new patients
Harper Health Glenview, PLLC CurrentSince Jul 17, 2022 Accepting new patients

Locations

737 N Michigan Ave
Ste 2020
Chicago, IL 60611
Phone (855) 937-7371

2501 Compass Rd
Ste 140
Glenview, IL 60026
Phone (855) 947-7371

Interoperability endpoints

  • Direct secure messaging: daniel.hidaka@27209220882436.direct.elationemr.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.

NPI Registry JSON

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

{
    "created_epoch": "1215129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1215190764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 COMPASS RD STE 140",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268000",
            "telephone_number": "855-947-7371",
            "fax_number": "312-284-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 COMPASS RD STE 140",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268000",
            "telephone_number": "855-947-7371",
            "fax_number": "312-284-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDAKA",
        "first_name": "DANIEL",
        "middle_name": "ANJIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-04",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036122562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "036122562",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036122562",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "909980006",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Daniel.Hidaka@27209220882436.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "Elation Direct Message Address",
            "address_1": "737 N Michigan Ave Ste 2020",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606116749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.