Individual provider Active NPI

Daniel J Tepper, MD

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1629088604
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036096708 Issued in IL
Practice address
2222 W Division St Ste 135
Chicago, IL 60622-2967
Phone
(773) 376-2020
Fax
(773) 276-9110
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036096708 IL Primary

Addresses

Primary practice location

2222 W Division St Ste 135
Chicago, IL 60622-2967

Mailing address

2222 W Division St
Ste. 135
Chicago, IL 60622-2717
Phone (773) 376-2020

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
I20080326000043 IL Practitioner - Ophthalmology 2860578234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lotus Eyecare IncGroup PAC ID 1850477225, 2 clinicians

Practice addresses (Care Compare)

2222 W Division St
Suite 135
Chicago, IL 60622-2967
Phone (773) 376-2020

Hospital & facility affiliations

  • Advocate Illinois Masonic Medical Center Hospital, Chicago, IL, CCN 140182

Merit-based Incentive Payment System (MIPS)

Final score
96.27 of 100Reported as group
Quality
95.62
Improvement activities
40
Cost
70.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036096708ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher-Swale-Nicholson Eye Center SC Ophthalmology PastSince Jan 1, 2007 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dtepper@wickerparkeye.direct.eyemdemr.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1629088604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "STE. 135",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222717",
            "telephone_number": "773-376-2020",
            "fax_number": "773-276-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST STE 135",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222967",
            "telephone_number": "773-376-2020",
            "fax_number": "773-276-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPPER",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036096708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.