Active NPI
Dan Anthony Cabillage Garganera, M.D.
- Infectious Disease Physician
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 036-101243
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036101243 | Medicaid | IL | |
| P00427864 | Other | RAILROAD MEDICARE | |
| 09900582 | Other | IL | BLUE CROSS BLUE SHIELD |
Other names 1
- Dr. Dan Anthony Cabillage Garganera
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
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-101243 | IL | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Will County Community Health Center | Current | Accepting new patients | |
| Will County Community Health Center | Current | 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
- dan.garganera.p25@direct.willcounty.nextgenshare.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Joliet, IL
- NPI 1902811714
-
dba Will County Community Health Center East
- Federally Qualified Health Center (FQHC)
- Monee, IL
- NPI 1053870204
-
dba Will County Community Health Center North
- Federally Qualified Health Center (FQHC)
- Bolingbrook, IL
- NPI 1346772373
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.