Individual provider Active NPI

Robert L Deitch, M.D.

  • Otolaryngology Physician
  • Schaumburg, IL
National Provider Identifier
1275593196
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036.066198 Issued in IL
Practice address
1375 E Woodfield Rd Ste 120
Schaumburg, IL 60173-5423
Phone
(847) 882-5888
Fax
(847) 882-5951
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036.066198 IL Primary

Addresses

Primary practice location

1375 E Woodfield Rd Ste 120
Schaumburg, IL 60173-5423

Mailing address

1375 E Woodfield Rd Ste 120
Schaumburg, IL 60173-5423
Phone (847) 882-5888

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080915000540 IL Practitioner - Otolaryngology 0941377030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Rush Medical College of Rush University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Sinus Center ENT Associates SCGroup PAC ID 3779659867, 3 clinicians

Practice addresses (Care Compare)

1375 E Woodfield Rd
Suite 120
Schaumburg, IL 60173-5423
Phone (847) 882-5888

1555 Barrington Rd
BLDG 1
Hoffman Estates, IL 60169-1020
Phone (847) 843-2000

Hospital & facility affiliations

  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276

Merit-based Incentive Payment System (MIPS)

Final score
88.17 of 100Reported as group
Quality
76.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.066198ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Sinus Center ENT Associates SC Otolaryngology CurrentSince Apr 1, 2008 Accepting new patients
Quantum Anesthesia Services LLC Past Accepting new patients

Locations

1580 W Lake St
Addison, IL 60101
Phone (630) 285-7000

1000 Grand Canyon Pkwy
Ste 301
Hoffman Estates, IL 60169
Phone (847) 352-2822

1555 N Barrington Rd
Bldg 1
Hoffman Estates, IL 60169
Phone (224) 299-4222

1375 E Woodfield Rd
Ste 120
Schaumburg, IL 60173
Phone (847) 882-5888

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.

Hospital & facility affiliations 4

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1275593196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 E WOODFIELD RD STE 120",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735423",
            "telephone_number": "847-882-5888",
            "fax_number": "847-882-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 E WOODFIELD RD STE 120",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735423",
            "telephone_number": "847-882-5888",
            "fax_number": "847-882-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEITCH",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036.066198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.