Individual provider Active NPI

Daniel H Piazza, M.D.

  • Specialist
  • Arlington Heights, IL
National Provider Identifier
1609964568
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036-047512 Issued in IL
Practice address
2101 S Arlington Heights Rd
#108
Arlington Heights, IL 60005-4185
Phone
(847) 439-4343
Fax
(847) 439-4510
NPI assigned
Oct 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036-047512 IL Primary

Addresses

Primary practice location

2101 S Arlington Heights Rd
#108
Arlington Heights, IL 60005-4185

Mailing address

2101 S Arlington Heights Rd
#108
Arlington Heights, IL 60005-4185
Phone (847) 439-4343

Other identifiers 1

IdentifierTypeStateIssuer
036-047512MedicaidIL

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
I20100109000033 IL Practitioner - Urology 0244239457

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-047512ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
United Shockwave Services, LTD. CurrentSince Oct 7, 1994 Accepting new patients
United Shockwave Services, LTD. CurrentSince Oct 7, 1994 Accepting new patients
Northwest Community Hospital Current Accepting new patients
Northwest Urological Associates, S.C. Specialist Current Accepting new patients

Locations

2010 S Arlington Heights Rd
Ste 121
Arlington Heights, IL 60005
Phone (708) 439-4343

2101 S Arlington Heights Rd
Arlington Heights, IL 60005
Phone (847) 228-3200

2101 S Arlington Heights Rd
#R
Arlington Heights, IL 60005
Phone (847) 228-6955

2101 S Arlington Heights Rd
Ste 108
Arlington Heights, IL 60005
Phone (224) 404-6500

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

1875 W Dempster St
Ste G04
Park Ridge, IL 60068
Phone (630) 684-9361

6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609964568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S ARLINGTON HEIGHTS RD",
            "address_2": "#108",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054185",
            "telephone_number": "847-439-4343",
            "fax_number": "847-439-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S ARLINGTON HEIGHTS RD",
            "address_2": "#108",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054185",
            "telephone_number": "847-439-4343",
            "fax_number": "847-439-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIAZZA",
        "first_name": "DANIEL",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-047512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-047512",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.