Individual provider Active NPI

Daniel Patrick Hare, DPM

  • Podiatrist
  • Homer Glen, IL
National Provider Identifier
1215464805
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
135000865 Issued in IL
Practice address
14018 S Cherokee TRL
Homer Glen, IL 60491-9640
Phone
(708) 646-5282
NPI assigned
May 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 135000865 IL Primary

Addresses

Primary practice location

14018 S Cherokee TRL
Homer Glen, IL 60491-9640

Mailing address

14018 S Cherokee TRL
Homer Glen, IL 60491-9640
Phone (708) 646-5282

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170712000957 IL Practitioner - Podiatry 6901175660 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breck Tiernan PCGroup PAC ID 6901961465, 3 clinicians
Lake Zurich Podiatry PCGroup PAC ID 0547206419, 2 clinicians

Practice addresses (Care Compare)

350 Houbolt Rd
Joliet, IL 60431-8305
Phone (815) 553-0990

950 W Il Route 22
Suite 105
Lake Zurich, IL 60047-3419
Phone (847) 540-0234

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
60 of 100Reported as group
Quality
20
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue51
Removal of skin lesions1-10
Removal of nail tissue332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135000865ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Breck Tiernan PC Podiatrist CurrentSince Nov 1, 2018 Accepting new patients
Daniel P Hare DPM Podiatrist Current Accepting new patients
Lake Zurich Podiatry PC Podiatrist CurrentSince Jul 30, 2017 Accepting new patients

Locations

350 Houbolt Rd
Ste 104
Joliet, IL 60431
Phone (815) 553-0990

950 W State Route 22
Ste 105
Lake Zurich, IL 60047
Phone (847) 540-0234

10751 W 143rd St
Orland Park, IL 60462
Phone (708) 460-4162

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215464805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14018 S CHEROKEE TRL",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919640",
            "telephone_number": "708-646-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14018 S CHEROKEE TRL",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919640",
            "telephone_number": "708-646-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARE",
        "first_name": "DANIEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "135000865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

Verify at the official NPI Registry.