Active NPI
Daniela Fanto, MBBS
- Family Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036154021
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| One Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| AIDS Healthcare Foundation | Current | 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
- 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.
-
- Infectious Disease Physician
- Chicago, IL
- NPI 1437775038
-
- Family Medicine Physician
- Chicago, IL
- NPI 1588382832
-
- Community/Retail Pharmacy
- Baton Rouge, LA
- NPI 1891525184
-
- Family Medicine Physician
- Tigard, OR
- NPI 1891521134
-
- Internal Medicine Physician
- Manhasset, NY
- NPI 1144659749
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.