Individual provider Active NPI

Diane Marie Drugas, M.D.

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1457436776
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036077826 Issued in IL
Practice address
1801 W Taylor St
3F-Occ
Chicago, IL 60612
Phone
(312) 355-4300
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036077826 IL Primary

Addresses

Primary practice location

1801 W Taylor St
3F-Occ
Chicago, IL 60612

Mailing address

410 E Lincoln Hwy
New Lenox, IL 60451-1975
Phone (815) 462-5566

Other practice location 1

410 E Lincoln Hwy
New Lenox, IL 60451-1975
Phone (815) 462-5566

Other practice location 2

3900 W 203rd St
Olympia Fields, IL 60461-1183
Phone (708) 855-7071

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
I20100423000123 IL Practitioner - General Surgery 1557440492 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
R Franklin University of Med & Sci/Chicago Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians
Specialty Physicians of Illinois LLCGroup PAC ID 4183529456, 114 clinicians
The Board of Trustees of the University of IllinoisGroup PAC ID 3072422716, 1,134 clinicians

Practice addresses (Care Compare)

1401 S California Ave
Chicago, IL 60608-1858
Phone (773) 522-6656

2653 W Ogden Ave
FL 3 Suite a
Chicago, IL 60608-1647
Phone (773) 257-6672

3900 W 203Rd St
Olympia Fields, IL 60461-1183
Phone (708) 679-2380

840 S Wood St MC
958 Uic Surgery
Chicago, IL 60612-4325
Phone (312) 355-0104

California Ave at 15TH St
Chicago, IL 60608-1858
Phone (773) 542-2000

Hospital & facility affiliations

  • Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172
  • University of Illinois Hospital and Clinics Hospital, Chicago, IL, CCN 140150
  • Mt Sinai Hospital Medical Center Hospital, Chicago, IL, CCN 140018
  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy22
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036077826ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation CurrentSince Jul 1, 2019 Accepting new patients
Specialty Physicians of Illinois, LLC Surgery Current Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Aug 1, 2022 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jul 1, 2019 Accepting new patients
The Board of Trustees of the University of Illinois Surgery CurrentSince Mar 6, 2019 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Mar 6, 2019 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Board of Trustees of the University of Illinois Past Accepting new patients
Richard R. Keen, M.D., P.C. Past Accepting new patients

Locations

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

35318 Eagle Way
Chicago, IL 60678

840 S Wood St
#958
Chicago, IL 60612
Phone (312) 355-1493

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

1801 W Taylor St
#3F
Chicago, IL 60612
Phone (312) 355-4300

1801 W Taylor St
Chicago, IL 60612
Phone (312) 355-1700

1801 W Taylor St
#3
Chicago, IL 60612
Phone (312) 413-3627

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

3900 W 203rd St
Olympia Flds, IL 60461
Phone (708) 478-7437

Interoperability endpoints

  • Direct secure messaging: ddrugas16996@uihealth.direct-ci.com

Organizations & group practices 10

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1457436776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E LINCOLN HWY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511975",
            "telephone_number": "815-462-5566",
            "fax_number": "815-462-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W TAYLOR ST",
            "address_2": "3F-OCC",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-355-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 E Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604511975",
            "country_code": "US",
            "telephone_number": "815-462-5566",
            "fax_number": "815-462-5549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 W 203rd St",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611183",
            "country_code": "US",
            "telephone_number": "708-855-7071",
            "fax_number": "708-503-3224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRUGAS",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036077826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.