Individual provider Active NPI

Jay S. Dalal, MD

  • Hematology & Oncology Physician
  • Hinsdale, IL
National Provider Identifier
1770627184
Registry record updated Nov 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036120228 Issued in IL
Practice address
1 Salt Creek LN
Hinsdale, IL 60521-2936
Phone
(630) 286-5500
NPI assigned
Feb 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036120228 IL Primary

Addresses

Primary practice location

1 Salt Creek LN
Hinsdale, IL 60521-2936

Mailing address

1 Salt Creek LN
Hinsdale, IL 60521-2936

Other identifiers 1

IdentifierTypeStateIssuer
036120228MedicaidIL

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
I20081008000801 IL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0143398784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahp Specialty Care NFPGroup PAC ID 9931491107, 32 clinicians

Practice addresses (Care Compare)

1 Salt Creek LN
Suite 100
Hinsdale, IL 60521-2971
Phone (630) 286-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.86 of 100Reported as group
Quality
77.11
Promoting interoperability
100
Improvement activities
40
Cost
67.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036120228ILMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahp Specialty Care NFP CurrentSince Oct 15, 2016 Accepting new patients
Illinois Cancer Specialists Hematology & Oncology Past Accepting new patients

Locations

3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900

908 N Elm St
Ste 210
Hinsdale, IL 60521
Phone (630) 654-1790

1 Salt Creek Ln
Hinsdale, IL 60521
Phone (630) 286-5500

1 Salt Creek Ln
Ste 100
Hinsdale, IL 60521
Phone (630) 286-5500

Interoperability endpoints

  • Direct secure messaging: jdalal1240391@adventhealth.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480032000000",
    "number": "1770627184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SALT CREEK LN",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SALT CREEK LN",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212936",
            "telephone_number": "630-286-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAL",
        "first_name": "JAY",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2016-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036120228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036120228",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.