NPIMap

Individual provider Active NPI

Damien J McKnight, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1871688853
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036107041 Issued in IL
Practice address
822 S Miller St
Chicago, IL 60607-4207
Phone
(312) 733-9010
NPI assigned
Oct 4, 2006
Last updated
Jun 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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 036107041 IL Primary

Addresses

Primary practice location

822 S Miller St
Chicago, IL 60607-4207

Mailing address

946 N Racine Ave
Chicago, IL 60622-4126
Phone (312) 733-9010

Other identifiers 1

IdentifierTypeStateIssuer
036107041MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405000942 IL Practitioner - Family Practice 0244223444 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Stony Brook, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1625 N Harlem Ave
Chicago, IL 60707-4303

1653 W Congress Pkwy
Chicago, IL 60612-3833

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036107041ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Rush Oak Park Physicians Group Anchor Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Rush Oak Park ER Physicians Group CurrentSince Mar 23, 2020 Accepting new patients
Kedzie Medical Clinic Inc Past Accepting new patients
Toh Inc PastSince Feb 21, 2000 Accepting new patients

Locations

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

75 Remittance Dr
Dept 1620
Chicago, IL 60675

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

610 S Maple Ave
Ste 3900
Oak Park, IL 60304
Phone (708) 524-1674

7222 W Cermak Rd
Ste 700
Riverside, IL 60546
Phone (708) 660-6400

Interoperability endpoints

  • Direct secure messaging: dmcknight132677@direct.rush.rush-health.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1871688853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 N RACINE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224126",
            "telephone_number": "312-733-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S MILLER ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074207",
            "telephone_number": "312-733-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "DAMIEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036107041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107041",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.