Active NPI
Rose Diakos, MD
- Obstetrics & Gynecology Physician
- Saint John, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01082758A
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036081535 | Medicaid | IL | |
| 1620171 | Other | IL | BLUE 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 219 Health Network Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| 219 Health Network, Inc. | Current | Accepting new patients | |
| Community Care Network Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Lakeshore Womens Health Specialists SC | Obstetrics & Gynecology | Current | Accepting new patients |
| Illinois Uvc Medical PLLC | Past | 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
- 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.
-
- Family Medicine Physician
- East Chicago, IN
- NPI 1093213506
Obstetrics & Gynecology
-
dba Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1528094869
-
- Federally Qualified Health Center (FQHC)
- Munster, IN
- NPI 1417811738
-
dba United Vein & Vascular Centers
- Vascular Surgery Physician
- Oak Lawn, IL
- NPI 1689224719
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Powers Health Rehabilitation Center
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.