Active NPI
Daniel E Vera, M.D.
- Surgery Physician
- Olympia Fields, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036099679
- Practice address
- 3700 W 203Rd St Ste 201
Olympia Fields, IL 60461-1182 - Phone
- (708) 679-2120
- Fax
- (708) 503-3230
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036099679 | IL | Primary |
Addresses
Primary practice location
3700 W 203Rd St Ste 201
Olympia Fields, IL 60461-1182
Mailing address
35318 Eagle Way
Chicago, IL 60678-1353
Phone (317) 528-4800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020053761 | Other | IL | PALMETTO RR MEDICARE |
| 036099679 | Medicaid | IL | |
| 203979060 | Other | IL | MEDICARE PTAN -SPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dvera110960@Direct.FranciscanAlliance.org | Direct |
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
- General Surgery
- Education
- Illinois Medical College, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3700 W 203Rd St
Suite 201
Olympia Fields, IL 60461-1182
Phone (708) 679-2880
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 11 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 18 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036099679 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Specialty Physicians of Illinois, LLC | Current | Accepting new patients | |
| Specialty Physicians of Illinois, LLC | Surgery | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Friedell Clinic, S. C. | Surgery | Current | Accepting new patients |
| Elmhurst Memorial Healthcare | Past | Accepting new patients | |
| Center for Minimally Invasive Therapies, LLC | Past | Accepting new patients | |
| Southwest Surgical Associates | Surgery | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
190 E Delaware Pl
Chicago, IL 60611
Phone (312) 944-0063
35318 Eagle Way
Chicago, IL 60678
29373 Network Pl
Chicago, IL 60673
7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310
745 Fletcher Dr
Ste 302
Elgin, IL 60123
Phone (847) 695-6600
10043 W Lincoln Hwy
Frankfort, IL 60423
Phone (815) 469-0609
3700 W 203rd St
Ste 202
Olympia Fields, IL 60461
Phone (708) 679-2120
3700 W 203rd St
Ste 201
Olympia Flds, IL 60461
Phone (708) 679-2880
3900 W 203rd St
Olympia Flds, IL 60461
Phone (708) 478-7437
3700 W 203rd St
Ste 310
Olympia Flds, IL 60461
Phone (708) 679-2066
3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850
345 Dixie Hwy
South Chicago Heights, IL 60411
Phone (708) 754-7601
101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285
1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GBDBCD
- dvera110960@direct.franciscanalliance.org
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- Greenwood, IN
- NPI 1124075676
IL, Surgery
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1023837689
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Durable Medical Equipment & Medical Supplies
- Morrison, IL
- NPI 1447415724
-
- Urgent Care Clinic/Center
- Frankfort, IL
- NPI 1962024612
-
- Point of Service
- Melrose Park, IL
- NPI 1548308380
-
- Multi-Specialty Clinic/Center
- Elmhurst, IL
- NPI 1457493454
-
- Surgery Physician
- Joliet, IL
- NPI 1306921754
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1851476212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35318 EAGLE WAY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606781353",
"telephone_number": "317-528-4800",
"fax_number": "317-865-8319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 W 203RD ST STE 201",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611182",
"telephone_number": "708-679-2120",
"fax_number": "708-503-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERA",
"first_name": "DANIEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036099679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO RR MEDICARE",
"identifier": "020053761",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036099679",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN -SPI",
"identifier": "203979060",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dvera110960@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3700 W 203rd St",
"address_2": "Suite 202",
"city": "Olympia Fields",
"state": "IL",
"country_code": "US",
"postal_code": "604611180",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.