Individual provider Active NPI

Dan Anthony Cabillage Garganera, M.D.

  • Infectious Disease Physician
  • Joliet, IL
National Provider Identifier
1306947536
Registry record updated Feb 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036-101243 Issued in IL
Practice address
1051 Essington Rd
Suite 210
Joliet, IL 60435-2801
Phone
(815) 726-1818
Fax
(815) 726-0232
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 036-101243 IL Primary

Addresses

Primary practice location

1051 Essington Rd
Suite 210
Joliet, IL 60435-2801

Mailing address

1051 Essington Rd
Suite 210
Joliet, IL 60435-2801
Phone (815) 726-1818

Other identifiers 3

IdentifierTypeStateIssuer
036101243MedicaidIL
P00427864OtherRAILROAD MEDICARE
09900582OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Dr. Dan Anthony Cabillage Garganera Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20071026000704 IL Practitioner - Infectious DiseasePractitioner - Internal Medicine 9537256235
I20240805001910 IL Practitioner - Internal MedicinePractitioner - Infectious Disease 9537256235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1106 Neal Ave
Joliet, IL 60433-2548
Phone (815) 727-8670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-101243ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Will County Community Health Center CurrentSince May 17, 2024 Accepting new patients
Will County Community Health Center CurrentSince May 17, 2024 Accepting new patients
Will County Community Health Center Current Accepting new patients

Locations

501 Ella Ave
Joliet, IL 60433
Phone (815) 727-8480

1106 Neal Ave
Joliet, IL 60433
Phone (815) 727-5054

Interoperability endpoints

  • Direct secure messaging: dan.garganera.p25@direct.willcounty.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329004800000",
    "number": "1306947536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 ESSINGTON RD",
            "address_2": "SUITE 210",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352801",
            "telephone_number": "815-726-1818",
            "fax_number": "815-726-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 ESSINGTON RD",
            "address_2": "SUITE 210",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352801",
            "telephone_number": "815-726-1818",
            "fax_number": "815-726-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARGANERA",
        "first_name": "DAN ANTHONY",
        "middle_name": "CABILLAGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036-101243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101243",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00427864",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09900582",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAN ANTHONY",
            "last_name": "GARGANERA",
            "middle_name": "CABILLAGE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.