Individual provider Active NPI

Daphne A Colangelo, PAC

  • Physician Assistant
  • Aurora, IL
National Provider Identifier
1225027485
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085001471 Issued in IL
Practice address
1901 W Galena Blvd
Aurora, IL 60506-4305
Phone
(630) 897-2848
Fax
(630) 897-4498
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085001471 IL Primary

Addresses

Primary practice location

1901 W Galena Blvd
Aurora, IL 60506-4305

Mailing address

1901 W Galena Blvd
Aurora, IL 60506-4305
Phone (630) 897-2848

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040626000428 IL Practitioner - Physician Assistant 8022094465 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Rush-Copley Medical Group NFPGroup PAC ID 7618864877, 101 clinicians

Practice addresses (Care Compare)

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

1901 W Galena Blvd
Rush Copley Medical Group
Aurora, IL 60506-4305
Phone (630) 692-5960

2000 Ogden Ave
Aurora, IL 60504-5893

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 978-4800

472 N Sugar Grove Pkwy
Rush Copley Medical Group
Sugar Grove, IL 60554-8107
Phone (630) 466-6000

Hospital & facility affiliations

  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085001471ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rush-Copley Medical Group, NFP CurrentSince Apr 1, 2022 Accepting new patients
Rush University Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Rush Copley Medical Group Past Accepting new patients
Suburban Home Physicians,LLC Past Accepting new patients

Locations

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2340 S Eola Rd
Ste 100
Aurora, IL 60503
Phone (630) 692-5190

444 N Eola Rd
Ste 110
Aurora, IL 60502
Phone (630) 499-8758

1901 W Galena Blvd
Aurora, IL 60506
Phone (630) 692-5960

1256 Waterford Dr
Ste 230
Aurora, IL 60504
Phone (630) 499-2404

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

4789 State Route 71
Oswego, IL 60543
Phone (630) 692-5730

1100 W Veterans Pkwy
Ste 200
Yorkville, IL 60560
Phone (630) 236-4270

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1225027485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W GALENA BLVD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064305",
            "telephone_number": "630-897-2848",
            "fax_number": "630-897-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W GALENA BLVD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064305",
            "telephone_number": "630-897-2848",
            "fax_number": "630-897-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLANGELO",
        "first_name": "DAPHNE",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085001471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.