Individual provider Active NPI

Daniel F Debartolo, M.D.

  • Ophthalmology Physician
  • Naperville, IL
National Provider Identifier
1659392868
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Practice address
1855 Bay Scott Cir
Naperville, IL 60540-1104
Phone
(630) 357-5280
Fax
(630) 357-5367
NPI assigned
Jul 22, 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
Ophthalmology Physician 207W00000X IL Primary

Addresses

Primary practice location

1855 Bay Scott Cir
Naperville, IL 60540-1104

Mailing address

1855 Bay Scott Cir
Naperville, IL 60540-1104
Phone (630) 357-5280

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
I20111108000908 IL Practitioner - Ophthalmology 6204723927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Chicago College of Medicine and Surgery, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Naperville Eye Associates LTDGroup PAC ID 0840277943, 3 clinicians

Practice addresses (Care Compare)

1855 Bay Scott Cir
Naperville, IL 60540-1104
Phone (630) 357-5280

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036072173ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naperville Eye Associates LTD Ophthalmology CurrentSince Jul 7, 2004 Accepting new patients
Riverside Health System Past Accepting new patients

Locations

1855 Bay Scott Cir
Naperville, IL 60540
Phone (630) 357-5280

1855 Bay Scott Cir
#0
Naperville, IL 60540

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGIFBA

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, 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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659392868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 BAY SCOTT CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401104",
            "telephone_number": "630-357-5280",
            "fax_number": "630-357-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 BAY SCOTT CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401104",
            "telephone_number": "630-357-5280",
            "fax_number": "630-357-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBARTOLO",
        "first_name": "DANIEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.