Individual provider Active NPI

Daniel Addison De Biasio, D.C.

  • Chiropractor
  • Palos Hills, IL
National Provider Identifier
1295191781
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38013052 Issued in IL
Practice address
10059 S Roberts Rd
Palos Hills, IL 60465-1691
Phone
(708) 598-9144
NPI assigned
Jan 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010360 MI
Chiropractor 111N00000X 38013052 IL Primary

Addresses

Primary practice location

10059 S Roberts Rd
Palos Hills, IL 60465-1691

Mailing address

9901 W 145TH PL
Orland Park, IL 60462-2476
Phone (708) 256-5591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190905002141 IL Practitioner - Chiropractic 3476837980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Chicago Specialty Physicians LLCGroup PAC ID 6002087590, 8 clinicians

Practice addresses (Care Compare)

80 W Hillcrest Blvd
Suite 208
Schaumburg, IL 60195-3111
Phone 6303395300200

Merit-based Incentive Payment System (MIPS)

Final score
99.02 of 100Reported as apm
Quality
85.37
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38013052ILMDChiropractor
2301010360MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Chicago Specialty Physicians LLC Chiropractor CurrentSince Oct 1, 2024 Accepting new patients

Locations

11540 183rd Pl
Ste Nw
Orland Park, IL 60467

11540 183rd Pl
Ste Nenw
Orland Park, IL 60467

80 W Hillcrest Blvd
Ste 208
Schaumburg, IL 60195
Phone (630) 339-5300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GACCAA/Endpoint/GACCAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GACCAA

Organizations & group practices 1

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": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1295191781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 W 145TH PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622476",
            "telephone_number": "708-256-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10059 S ROBERTS RD",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651691",
            "telephone_number": "708-598-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE BIASIO",
        "first_name": "DANIEL",
        "middle_name": "ADDISON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-13",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010360",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38013052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.