Individual provider Active NPI

Daniel John Ritacca, M.D.

  • Ophthalmology Physician
  • Vernon Hills, IL
National Provider Identifier
1801929799
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2086S0122X Issued in IL
Practice address
230 Center Dr
Vernon Hills, IL 60061-1584
Phone
(847) 367-8815
Fax
(847) 367-8819
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2086S0122X IL Primary

Addresses

Primary practice location

230 Center Dr
Vernon Hills, IL 60061-1584

Mailing address

230 Center Dr
Vernon Hills, IL 60061-1584
Phone (847) 367-8815

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
I20041129000563 IL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Ophthalmology 7810952108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ritacca Cosmetic Surgery and Medspa LTDGroup PAC ID 3072775840, 4 clinicians

Practice addresses (Care Compare)

230 Ctr Dr
Vernon Hills, IL 60061-1584
Phone (847) 367-8815

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2086S0122XILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ritacca Cosmetic Surgery & Medspa, LTD Ophthalmology CurrentSince Aug 1, 2011 Accepting new patients
Ritacca Laser Center LTD PastSince Nov 29, 2004 Accepting new patients

Locations

230 Center Dr
Lowr
Vernon Hills, IL 60061
Phone (847) 367-8764

230 Center Dr
Ste 101
Vernon Hills, IL 60061
Phone (847) 367-8815

230 Center Dr
Vernon Hills, IL 60061
Phone (847) 367-8764

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1801929799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CENTER DR",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611584",
            "telephone_number": "847-367-8815",
            "fax_number": "866-367-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CENTER DR",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611584",
            "telephone_number": "847-367-8815",
            "fax_number": "847-367-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITACCA",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "2086S0122X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.