Individual provider Active NPI

Micaela Della Torre, M.D.

  • Maternal & Fetal Medicine Physician
  • South Bend, IN
National Provider Identifier
1598798779
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
036112792 Issued in IL
Practice address
100 Navarre PL Ste 4410
South Bend, IN 46601-1171
Phone
(574) 647-1650
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036112792 IL
Maternal & Fetal Medicine Physician 207VM0101X 01071567A IN
Maternal & Fetal Medicine Physician 207VM0101X 036112792 IL Primary

Addresses

Primary practice location

100 Navarre PL Ste 4410
South Bend, IN 46601-1171

Mailing address

200 W Adams St
Suite 225
Chicago, IL 60606-3242
Phone (312) 704-2885

Other practice location 1

2900 N Lake Shore Dr Fl 4
Chicago, IL 60657-5640
Phone (773) 665-6159

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
I20060829000037 IL Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 6204830599 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036112792ILMDMaternal & Fetal Medicine Physician
01071567AINMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Mar 6, 2020 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Apr 1, 2015 Accepting new patients
The Board of Trustees of the University of Illinois Obstetrics & Gynecology CurrentSince Apr 1, 2015 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Mar 6, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 1, 2022 Accepting new patients
The University of Chicago Medical Center CurrentSince Sep 3, 2012 Accepting new patients
Presence Healthcare Services CurrentSince Dec 1, 2022 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 1, 2022 Accepting new patients
Presence Healthcare Services CurrentSince Dec 1, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois Obstetrics & Gynecology CurrentSince Apr 1, 2015 Accepting new patients
Presence Healthcare Services Current Accepting new patients
The University of Chicago Medical Center CurrentSince Sep 3, 2012 Accepting new patients
Presence Healthcare Services Past Accepting new patients
Advocate North Side Health Network Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

Dept 5777
Carol Stream, IL 60122

62311 Collection Ctr Dr
Chicago, IL 60693

1740 W Taylor St
#3463
Chicago, IL 60612

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

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

29373 Network Pl
Chicago, IL 60673

675 N Saint Clair St
Ste 14-200
Chicago, IL 60611
Phone (312) 695-7382

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

75 Remittance Dr
Chicago, IL 60675

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

10811 W 143rd St
Ste 100
Orland Park, IL 60467
Phone (708) 460-2500

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1598798779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ADAMS ST",
            "address_2": "SUITE 225",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063242",
            "telephone_number": "312-704-2885",
            "fax_number": "312-704-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NAVARRE PL STE 4410",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011171",
            "telephone_number": "574-647-1650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 N Lake Shore Dr Fl 4",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575640",
            "country_code": "US",
            "telephone_number": "773-665-6159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELLA TORRE",
        "first_name": "MICAELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036112792",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IN",
            "license": "01071567A",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IL",
            "license": "036112792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.