Deepak P Dalia, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036051924 Issued in IL

Practice address

840 S Waukegan Rd
Suite 214
Lake Forest, IL 60045-2608

Phone

(847) 298-2192

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Preferred Open MRI LTD

  • Diagnostic Radiology Physician
  • Elgin, IL
  • NPI 1730632209
  NPD
• Preferred Open MRI LTD

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1740839364
  NPD
• Advanced Digital Mobile Xray Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Toluca, IL
  • NPI 1487151783
  NPD (past)
• Central Illinois Neuroradiology, LTD

  • Specialist
  • Bloomington, IL
  • NPI 1881641371
  NPD (past)
• Elk Grove MRI Inc.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Elk Grove Village, IL
  • NPI 1043245285

  Diagnostic Radiology

  NPD (past)
• Elk Grove Radiology S.C.

  • Diagnostic Radiology Physician
  • Elk Grove Village, IL
  • NPI 1386730810
  NPD (past)
• Preferred Open MRI, LTD.

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1366167710
  NPD (past)
• Village Radiology LTD

  • Diagnostic Radiology Physician
  • Oak Park, IL
  • NPI 1346337565
  NPD (past)
• We Care Physicians Inc

  • General Practice Physician
  • Lombard, IL
  • NPI 1285068957
  NPD (past)
• Wellington Radiology Group, S.C.

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1316057334
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1508867441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 22ND ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486110",
            "telephone_number": "630-874-2542",
            "fax_number": "630-874-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S WAUKEGAN RD",
            "address_2": "SUITE 214",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452608",
            "telephone_number": "847-298-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALIA",
        "first_name": "DEEPAK",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036051924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051924",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "202926",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Cuaresma
• Kyle T Cummisford, PA-C
• Rebecca Lockhart Curry-Edwards, AGACNP-BC
• Daniela Cvetkova, PA
• Kristin Marie D'Silva, M.D.
• Daniel Joseph Dammrich, M.D.
• Jennifer Ann Daniels, MA
• Tricia Valters Danz, O.D.
• David E. Schmidt, D.D.S., P.C.
• David Vigder MD SC

• Diagnostic Radiology Physician in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.