Active NPI
Diana Katherine Bowen, M.D.
- Urology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 036135295
- Practice address
- 225 E Chicago Ave
Chicago, IL 60611-2991 - Phone
- (312) 227-6342
- Fax
- (312) 227-9412
- NPI assigned
- Jun 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 125.057400 | IL | |
| Pediatric Urology Physician | 2088P0231X | 036.135295 | IL | |
| Pediatric Urology Physician | 2088P0231X | MT210494 | PA | |
| Urology Physician | 208800000X | 036135295 | IL | Primary |
| Urology Physician | 208800000X | 036.135295 | IL |
Addresses
Primary practice location
225 E Chicago Ave
Chicago, IL 60611-2991
Mailing address
225 E Chicago Ave # 24
Chicago, IL 60611-2991
Phone (312) 227-4000
Other practice location 1
3401 Civic Center Blvd
Division of Pediatric Urology
Philadelphia, PA 19104-4319
Phone (312) 503-3238
Other practice location 2
675 N Saint Clair St Ste 20-150
Chicago, IL 60611-5979
Phone (312) 695-8146
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbowen96186@direct.luhs.org | LOYOLA UNIVERSITY MEDICAL CENTER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Michigan Medical School, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
675 N St Clair
100 Dept of Neurology
Chicago, IL 60611-5975
Phone (312) 695-7950
Hospital & facility affiliations
- Northwestern Memorial Hospital
- Northwestern Lake Forest Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.057400 | IL | MD | Urology Physician |
| 036.135295 | IL | MD | Pediatric Urology Physician |
| MT210494 | PA | MD | Pediatric Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Lurie Childrens Pediatric Anesthesia Associates | Current | Accepting new patients | |
| Lurie Childrens Surgical Foundation Inc | Pediatric Urology | Current | Accepting new patients |
| Lurie Children'S Medical Group, LLC | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415
675 N Saint Clair St
Ste 20-150
Chicago, IL 60611
Phone (312) 695-8146
225 E Chicago Ave
#118
Chicago, IL 60611
225 E Chicago Ave
#24
Chicago, IL 60611
Phone (312) 227-6340
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
1121 Techny Rd
Northbrook, IL 60062
Phone (312) 227-2700
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Pediatric Surgery Physician
- Chicago, IL
- NPI 1356822050
Pediatric Urology
-
- Pediatric Anesthesiology Physician
- Chicago, IL
- NPI 1063955078
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Pediatrics Physician
- Chicago, IL
- NPI 1992758544
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1821318353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE # 24",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-4000",
"fax_number": "312-227-9412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-6342",
"fax_number": "312-227-9412"
}
],
"practiceLocations": [
{
"address_1": "3401 Civic Center Blvd",
"address_2": "Division of Pediatric Urology",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044319",
"country_code": "US",
"telephone_number": "312-503-3238",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "675 N Saint Clair St Ste 20-150",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606115979",
"country_code": "US",
"telephone_number": "312-695-8146",
"fax_number": "312-695-7030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWEN",
"first_name": "DIANA",
"middle_name": "KATHERINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-07",
"last_updated": "2023-11-27",
"certification_date": "2020-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "125.057400",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "IL",
"license": "036.135295",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "PA",
"license": "MT210494",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "036135295",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "036.135295",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dbowen96186@direct.luhs.org",
"affiliation": "Y",
"affiliationName": "LOYOLA UNIVERSITY MEDICAL CENTER",
"address_1": "2160 S 1st Ave",
"city": "Maywood",
"state": "IL",
"country_code": "US",
"postal_code": "601533328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.