Individual provider Active NPI

Daniel Joseph Farrugia, M.D., PH.D., F.A.C.S

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1710130901
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036141768 Issued in IL
Practice address
875 N Michigan Ave Ste 3620
Chicago, IL 60611-1947
Phone
(312) 999-5505
Fax
(872) 666-1985
NPI assigned
Oct 31, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036141768 IL Primary

Addresses

Primary practice location

875 N Michigan Ave Ste 3620
Chicago, IL 60611-1947

Mailing address

875 N Michigan Ave Ste 3620
Chicago, IL 60611-1947
Phone (312) 999-5505

Other identifiers 1

IdentifierTypeStateIssuer
036141768OtherILSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20190308001565 GA Practitioner - General SurgeryPractitioner - Surgical Oncology 6103053947

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036141768ILMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1710130901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 N MICHIGAN AVE STE 3620",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111947",
            "telephone_number": "312-999-5505",
            "fax_number": "872-666-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N MICHIGAN AVE STE 3620",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111947",
            "telephone_number": "312-999-5505",
            "fax_number": "872-666-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRUGIA",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D., F.A.C.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-31",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036141768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036141768",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.