Individual provider Active NPI

Rose Diakos, MD

  • Obstetrics & Gynecology Physician
  • Saint John, IN
National Provider Identifier
1699701342
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01082758A Issued in IN
Practice address
9660 Wicker Ave FL 2
Saint John, IN 46373-9487
Phone
(219) 226-2236
NPI assigned
Jun 24, 2006
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036081535 IL
Obstetrics & Gynecology Physician 207V00000X 01082758A IN Primary

Addresses

Primary practice location

9660 Wicker Ave FL 2
Saint John, IN 46373-9487

Mailing address

1460 N. Halsted
Suite 503
Chicago, IL 60639-6158
Phone (773) 472-1444

Other practice location 1

1460 N Halsted St
Ste 503
Chicago, IL 60642-2605
Phone (773) 472-1444

Other identifiers 2

IdentifierTypeStateIssuer
036081535MedicaidIL
1620171OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190822001544 IN Practitioner - Obstetrics/Gynecology 7113068875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loyola University of Chicago, Stritch School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
219 Health Network IncGroup PAC ID 0547521452, 70 clinicians

Practice addresses (Care Compare)

9660 Wicker Ave
Saint John, IN 46373-9487
Phone (219) 226-2244

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
219 Health Network Inc Obstetrics & Gynecology CurrentSince Sep 1, 2023 Accepting new patients
219 Health Network, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Community Care Network Inc Obstetrics & Gynecology CurrentSince Sep 1, 2019 Accepting new patients
Lakeshore Womens Health Specialists SC Obstetrics & Gynecology CurrentSince Sep 11, 2009 Accepting new patients
Illinois Uvc Medical PLLC PastSince Nov 30, 2021 Accepting new patients

Locations

1460 N Halsted St
Chicago, IL 60642
Phone (312) 227-2800

1460 N Halsted St
Ste 503
Chicago, IL 60642
Phone (773) 472-1444

100 W Chicago Ave
Ste F
East Chicago, IN 46312
Phone (219) 392-7016

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

9660 Wicker Ave
Fl 2
Saint John, IN 46373
Phone (219) 226-2380

9660 Wicker Ave
Ste 2A
Saint John, IN 46373
Phone (219) 226-2244

Interoperability endpoints

  • Direct secure messaging: rdiakos93973@ssdirect.comhs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1699701342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N. HALSTED",
            "address_2": "SUITE 503",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606396158",
            "telephone_number": "773-472-1444",
            "fax_number": "312-787-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 WICKER AVE FL 2",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739487",
            "telephone_number": "219-226-2236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 N Halsted St",
            "address_2": "STE 503",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606422605",
            "country_code": "US",
            "telephone_number": "773-472-1444",
            "fax_number": "312-787-4424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAKOS",
        "first_name": "ROSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036081535",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01082758A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081535",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1620171",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint John, IN

Sources for this page

Verify at the official NPI Registry.