Individual provider Active NPI

Daniela Fanto, MBBS

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1861888018
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036154021 Issued in IL
Practice address
3311 N Halsted St
Chicago, IL 60657-2412
Phone
(773) 435-9994
Fax
(833) 734-1443
NPI assigned
Apr 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036154021 IL Primary

Addresses

Primary practice location

3311 N Halsted St
Chicago, IL 60657-2412

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

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
I20201125001083 IL Practitioner - Family Practice 4284987082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
AIDS Healthcare FoundationGroup PAC ID 2668369109, 101 clinicians

Practice addresses (Care Compare)

3311 N Halsted St
Chicago, IL 60657-2412
Phone (773) 935-9994

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
64.78
Improvement activities
40
Cost
79.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
AIDS Healthcare Foundation CurrentSince Jan 29, 2024 Accepting new patients
One Medical Group, Inc. Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
AIDS Healthcare Foundation CurrentSince Jan 29, 2024 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

3311 N Halsted St
Chicago, IL 60657
Phone (773) 435-9583

1640 N Damen Ave
Chicago, IL 60647

181 W Madison St
Ste 3825
Chicago, IL 60602
Phone (312) 999-5510

1515 E 52nd Pl
Ste 206
Chicago, IL 60615
Phone (312) 881-3050

2600 S Michigan Ave
Ste 416
Chicago, IL 60616
Phone (312) 881-3050

730 Waukegan Rd
Deerfield, IL 60015

Interoperability endpoints

  • Direct secure messaging: daniela.fanto.1@26356.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1861888018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572412",
            "telephone_number": "773-435-9994",
            "fax_number": "833-734-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTO",
        "first_name": "DANIELA",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036154021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.