Individual provider Active NPI

Daniel E Vera, M.D.

  • Surgery Physician
  • Olympia Fields, IL
National Provider Identifier
1851476212
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036099679 Issued in IL
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

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
020053761OtherILPALMETTO RR MEDICARE
036099679MedicaidIL
203979060OtherILMEDICARE PTAN -SPI

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090922000583 IL Practitioner - General Surgery 7517013238 Reassigns benefits to 5 organizations

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

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue18
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036099679ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health & Hospitals Corporation CurrentSince Jun 20, 2011 Accepting new patients
CGH Medical Center CurrentSince Apr 22, 2022 Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Nov 1, 2012 Accepting new patients
Specialty Physicians of Illinois, LLC Surgery Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 20, 2011 Accepting new patients
CGH Medical Center CurrentSince Apr 22, 2022 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Friedell Clinic, S. C. Surgery CurrentSince Jan 9, 2010 Accepting new patients
Elmhurst Memorial Healthcare PastSince May 25, 2021 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBDBCD
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.