Daniel A Pacella, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036066758 Issued in IL

Practice address

16522 106TH CT
Orland Park, IL 60467-4547

Phone

(708) 361-2266

Fax

(708) 361-3200

NPI assigned

Jun 27, 2005

Last updated

Aug 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Daniel a Pacella DO PC

  • Surgery Physician
  • Orland Park, IL
  • NPI 1376721415
  Authorized official Same address or phone

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1760488316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16522 106TH CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674547",
            "telephone_number": "708-361-2266",
            "fax_number": "708-361-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16522 106TH CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674547",
            "telephone_number": "708-361-2266",
            "fax_number": "708-361-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACELLA",
        "first_name": "DANIEL",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036066758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F400409513",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0031602369",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020006885",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036066758",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew James Ouradnik, OTR
• Raed Ihab Oweisi, DMD
• Christian B Oyibe
• P. Gregory Striegel, MD. LTD
• Menie Santos Pabonita, BSPT
• Angelika Anna Pacholek, OD
• Jaclyn Marie Padalino, LSW
• Annalyn Verano Padua, PTA
• Julie Pagel, FNP
• Kelly J Pagnucci, PT, MHS, DPT

• Surgery Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.