Individual provider Active NPI

Danilo V. Delcampo, M.D.

  • Dermatology Physician
  • Chicago, IL
National Provider Identifier
1801893052
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036055496 Issued in IL
Practice address
5440 W Belmont Ave
Chicago, IL 60641-4126
Phone
(773) 286-8111
Fax
(773) 286-9213
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036055496 IL Primary

Addresses

Primary practice location

5440 W Belmont Ave
Chicago, IL 60641-4126

Mailing address

5440 W Belmont Ave
Chicago, IL 60641-4126
Phone (773) 286-8111

Other identifiers 1

IdentifierTypeStateIssuer
036055496MedicaidIL

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
I20040902000507 IL Practitioner - Dermatology 3274528674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danilo V del Campo MDSCGroup PAC ID 4385639780, 4 clinicians

Practice addresses (Care Compare)

5440 W Belmont Ave
Chicago, IL 60641-4126
Phone (773) 286-8111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036055496ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Danilo V del Campo MDSC Dermatology CurrentSince Oct 1, 2004 Accepting new patients

Locations

5440 W Belmont Ave
Chicago, IL 60641
Phone (312) 724-7441

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801893052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414126",
            "telephone_number": "773-286-8111",
            "fax_number": "773-286-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414126",
            "telephone_number": "773-286-8111",
            "fax_number": "773-286-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELCAMPO",
        "first_name": "DANILO",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036055496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055496",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.