Individual provider Active NPI

Natalia D Dejneka, MD

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1225041452
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036083923 Issued in IL
Practice address
8012 S Crandon Ave
Chicago, IL 60617-1124
Phone
(773) 356-5331
Fax
(773) 768-8154
NPI assigned
Aug 15, 2006
Last updated
May 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 72092 WI
Emergency Medicine Physician 207P00000X 036083923 IL Primary

Addresses

Primary practice location

8012 S Crandon Ave
Chicago, IL 60617-1124

Mailing address

8012 S Crandon Ave
Chicago, IL 60617-1124

Other practice location 1

800 Riverside Dr
Waupaca, WI 54981-1943
Phone (715) 258-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, MI, WI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20050401000492 IL Practitioner - Emergency Medicine 6608823612 Reassigns benefits to 4 organizations
I20181016003845 IN Practitioner - Emergency Medicine 6608823612 Reassigns benefits to 3 organizations
I20181219001684 MI Practitioner - Emergency Medicine 6608823612
I20190717000658 WI Practitioner - Emergency Medicine 6608823612 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Chicago College of Medicine and Surgery, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Company of Tennessee PLLCGroup PAC ID 0345588109, 68 clinicians

Practice addresses (Care Compare)

1400 E 9TH St
Rochester, IN 46975-8931
Phone (888) 264-0330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.21 of 100Reported as group
Quality
85.43
Improvement activities
40
Cost
85.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036083923ILMDEmergency Medicine Physician
72092WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Dec 15, 2024 Accepting new patients
Clarksville Emergency Group, PC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince May 25, 2025 Accepting new patients
Thedacare Medical Center - Wild Rose, Inc CurrentSince May 25, 2025 Accepting new patients
Chicago Central Emergency Physicians, LLP Emergency Medicine CurrentSince May 8, 2022 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince May 25, 2025 Accepting new patients
Katherine Shaw Bethea Hospital CurrentSince Oct 4, 2024 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Jul 1, 2019 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Jul 1, 2019 Accepting new patients
Thedacare Medical Center - New London, Inc. CurrentSince May 25, 2025 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince May 25, 2025 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince May 25, 2025 Accepting new patients
Mile Bluff Medical Center Inc Emergency Medicine Current Accepting new patients
Iroquois Memorial Hospital and Resident Home CurrentSince Aug 16, 2018 Accepting new patients
Thedacare Medical Center - New London, Inc CurrentSince May 25, 2025 Accepting new patients
Concord Company of Tennessee PLLC Emergency Medicine CurrentSince Jul 17, 2025 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince May 25, 2025 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Emergency Medicine CurrentSince May 25, 2025 Accepting new patients
Richard S Veiga MD SC Current Accepting new patients
Osf Healthcare System Current Accepting new patients
Emergency Medicine Services of in, LLC Emergency Medicine CurrentSince Sep 25, 2025 Accepting new patients
Unimed, LTD Past Accepting new patients
Crandon Emergency Physicians LLC Emergency Medicine PastSince Sep 14, 2025 Accepting new patients
Windy City Emergency Physicians Emergency Medicine Past Accepting new patients
Emergency Care Physician Services-Blue Island LTD Emergency Medicine Past Accepting new patients
Emergency Care Physician Services Emergency Medicine Past Accepting new patients
Emergency Department Associates, P.C. Emergency Medicine Past Accepting new patients
Emergency Medical Specialists, II, S.C. Emergency Medicine Past Accepting new patients
Illinois/Indiana Em-I Medical Services, S.C. Emergency Medicine Past Accepting new patients

Locations

5025 N Paulina St
Chicago, IL 60640
Phone (773) 271-9040

403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629

900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

1040 Division St
Mauston, WI 53948
Phone (608) 847-5000

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

601 Grove Ave
Wild Rose, WI 54984
Phone (920) 622-3257

28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888

Interoperability endpoints

  • Direct secure messaging: ndejneka213050@direct.parkviewexchange.com

Organizations & group practices 29

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 29

Hospital & facility affiliations 2

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1225041452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 S CRANDON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 S CRANDON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171124",
            "telephone_number": "773-356-5331",
            "fax_number": "773-768-8154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549811943",
            "country_code": "US",
            "telephone_number": "715-258-1000",
            "fax_number": "715-258-1042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEJNEKA",
        "first_name": "NATALIA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "72092",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036083923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.