Diala Alatassi, MD
Individual provider Active NPI Obesity Medicine (Internal Medicine) Physician · Elmhurst, IL
NPI 1215467147 · NPPES record last updated Aug 23, 2024
Key facts
- NPI
- 1215467147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obesity Medicine (Internal Medicine) Physician 207RB0002X
- License
- 036153540 (IL)
- Practice address
- 172 E Schiller St
Elmhurst, IL 60126-2816 - Phone
- (331) 221-9001
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Endeavor Health Medical Group
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
8 Salt Creek LN
Hinsdale, IL 60521-2903
Hospital & facility affiliations
- Elmhurst Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220606002154 | IL | Practitioner - Internal Medicine | 2062890973 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036153540 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Internal Medicine | Current |
Accepting new patients |
| Elmhurst Memorial Healthcare | Current |
Accepting new patients | |
| Endeavor Health Medical Group | Current |
Accepting new patients | |
| Wyse Eyecare SC | Past | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
8 Salt Creek Ln
Hinsdale, IL 60521
Phone (331) 221-2400
8 Salt Creek Ln
Ste 302
Hinsdale, IL 60521
Phone (331) 221-6135
4201 Winfield Rd
Fl 3
Warrenville, IL 60555
Interoperability endpoints
- diala.alatassi.1@31033.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036153540 | IL | |
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X | 036153540 | IL | Yes |
Addresses
Primary practice location
172 E Schiller St
Elmhurst, IL 60126-2816
Mailing address
4201 Winfield Rd FL 3
Warrenville, IL 60555-4025
Phone (331) 221-6377
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dalatassi248699@direct.edward.org | Direct |
Other providers in Elmhurst, IL
- Zainab Ahmed
- John C Aikenhead
- Aimee Duax Holistic Psychotherapy PLLC
- Shah A Alam
- Alan M. Robertson M.D., S.C.
- Michelle Albovias
- Alc Concierge Transportation Inc
- Alc Palliative and Hospice Care, Inc
- Alc Palliative and Hospice Care, Inc
- Kathryn Elisabeth Alexander
All providers in Elmhurst, IL · Obesity Medicine (Internal Medicine) Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.