Individual provider Active NPI

Dirk R De Haas, M.D.

  • Emergency Medicine Physician
  • North Chicago, IL
National Provider Identifier
1568578250
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036110274 Issued in IL
Practice address
3001 Green Bay Road Mail Code 111
North Chicago VA Medical Center Emergency Department
North Chicago, IL 60064
Phone
(847) 688-1900
NPI assigned
Aug 22, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD18064 RI
Emergency Medicine Physician 207P00000X 036110274 IL Primary
Emergency Medicine Physician 207P00000X 01074588A IN

Addresses

Primary practice location

3001 Green Bay Road Mail Code 111
North Chicago VA Medical Center Emergency Department
North Chicago, IL 60064

Mailing address

3001 Green Bay Road Mail Code 111
North Chicago VA Medical Center Emergency Department
North Chicago, IL 60064
Phone (847) 688-1900

Other practice location 1

825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL, WI, TN, IN, RI, MI7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20040210001136 CA Practitioner - Emergency Medicine 3072407022 Reassigns benefits to 2 organizations
I20050801000013 IL Practitioner - Emergency Medicine 3072407022 Reassigns benefits to 1 organization
I20150108000645 WI Practitioner - Emergency Medicine 3072407022 Reassigns benefits to 1 organization
I20180516000090 TN Practitioner - Internal Medicine 3072407022 Reassigns benefits to 1 organization
I20190727000282 IN Practitioner - Emergency Medicine 3072407022 Reassigns benefits to 3 organizations
I20210914002449 RI Practitioner - Emergency Medicine 3072407022 Reassigns benefits to 1 organization
I20240405003581 MI Practitioner - Emergency Medicine 3072407022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians of Memphis LLCGroup PAC ID 5395643209, 92 clinicians

Practice addresses (Care Compare)

1451 N Gardner St
Scottsburg, IN 47170-7751
Phone (812) 752-3456

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036110274ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Riverview Hospital & Clinics, Inc. Emergency Medicine Current Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Feb 3, 2018 Accepting new patients
Riverview Hospital Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Mar 9, 2019 Accepting new patients
Emergency Care Services of New England PC Emergency Medicine CurrentSince Aug 24, 2021 Accepting new patients
CGH Medical Center CurrentSince Nov 6, 2023 Accepting new patients
CGH Medical Center CurrentSince Nov 6, 2023 Accepting new patients
Team Physicians of Northern California Medical Group Inc Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. CurrentSince May 15, 2023 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Riverview Hospital CurrentSince Oct 1, 2022 Accepting new patients
Emergency Department Physicians, P.C. Emergency Medicine CurrentSince Mar 15, 2024 Accepting new patients
Observation Emergency Physicians, P.C. Emergency Medicine CurrentSince Mar 15, 2024 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Mar 9, 2019 Accepting new patients
Illinois Emergency Medicine Specialists, LLC Past Accepting new patients
Acute Care Specialists II, LTD Emergency Medicine Past Accepting new patients

Locations

191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671

1500 S Central Ave
Ste 200
Glendale, CA 91204
Phone (818) 242-8916

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

612 E Janss Rd
Thousand Oaks, CA 91360
Phone (805) 373-0725

1500 W West Covina Pkwy
West Covina, CA 91790
Phone (626) 430-9991

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

29980 Network Pl
Chicago, IL 60673

1809 Locust St
Sterling, IL 61081
Phone (815) 564-4002

100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800

14585 Hazel Dell Pkwy
Rm Urgent
Carmel, IN 46033
Phone (317) 214-5030

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

9690 E 116th St
Fishers, IN 46037
Phone (317) 214-5750

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Interoperability endpoints

  • Direct secure messaging: ddehaas19850@cghmc.direct-ci.com

Organizations & group practices 17

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.

View all 17

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1568578250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 GREEN BAY ROAD MAIL CODE 111",
            "address_2": "NORTH CHICAGO VA MEDICAL CENTER EMERGENCY DEPARTMENT",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "60064",
            "telephone_number": "847-688-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 GREEN BAY ROAD MAIL CODE 111",
            "address_2": "NORTH CHICAGO VA MEDICAL CENTER EMERGENCY DEPARTMENT",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "60064",
            "telephone_number": "847-688-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Chalkstone Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084728",
            "country_code": "US",
            "telephone_number": "401-456-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE HAAS",
        "first_name": "DIRK",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD18064",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036110274",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01074588A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chicago, IL

Sources for this page

Verify at the official NPI Registry.