Dana Derouin

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016.005456 Issued in IL

Practice address

2357 Hassell Rd Ste 210
Hoffman Estates, IL 60169-2172

Phone

(847) 985-8380

Fax

(847) 985-9475

NPI assigned

Jun 8, 2011

Last updated

Dec 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dana Derouin Professional name

Medicare fee-for-service enrollment

Enrolled in IL, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Andersontiernan Inc

  • Podiatrist
  • Schaumburg, IL
  • NPI 1992091219

  WI

  Medicare reassignment NPD

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1598059354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 HASSELL RD STE 210",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692172",
            "telephone_number": "847-985-8380",
            "fax_number": "847-985-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2357 HASSELL RD STE 210",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692172",
            "telephone_number": "847-985-8380",
            "fax_number": "847-985-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROUIN",
        "first_name": "DANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "DEROUIN",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kelly Marie Demers, PSYD
• Vanessa Jayne Demito, LPC
• Mark P Demus, MD
• Sara E Denton, PT, DPT
• Dependable Home Medical Equipment, LLC
• Khushbu Patel Desai, MSN,FNP-BC
• Urvish B Desai, PHARMD, RPH
• John Henry Di Gangi, LCPC, CRADC
• Diamond Home Visiting Physicians Group,Inc
• Ma.Visimee Diaz-Caturan

• Foot & Ankle Surgery Podiatrist in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.

Verify at the official NPI Registry.