Individual provider Active NPI

Diana Elizabeth Alanis, MD

  • Family Medicine Physician
  • Rockford, IL
National Provider Identifier
1922007418
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036109226 Issued in IL
Practice address
461 N Mulford Rd Ste 3
Rockford, IL 61107-5165
Phone
(815) 227-9594
Fax
(815) 227-9574
NPI assigned
Jul 18, 2005
Last updated
Jan 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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 036109226 IL Primary

Addresses

Primary practice location

461 N Mulford Rd Ste 3
Rockford, IL 61107-5165

Mailing address

461 N Mulford Rd Ste 3
Rockford, IL 61107-5165
Phone (815) 227-9594

Other practice location 1

1212 Currency Ct
Rochelle, IL 61068-2321
Phone (815) 227-9594

Other identifiers 1

IdentifierTypeStateIssuer
3625485496111001MedicaidIL

Other names 1

  • Dr. Diana Elizabeth Ortega Former name

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
I20040427000925 IL Practitioner - Family Practice 9830186493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CGH Medical CenterGroup PAC ID 6103723267, 199 clinicians

Practice addresses (Care Compare)

101 E Miller Rd
Sterling, IL 61081-1252
Phone (815) 625-4790

1319 N Galena Ave
Dixon, IL 61021-1009
Phone (815) 624-4790

1321 N Galena Ave
Dixon, IL 61021-1009
Phone (815) 284-1600

711 S Division Ave
Polo, IL 61064-1836
Phone (815) 946-3661

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036109226ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLX Medical Group Inc Family Medicine CurrentSince Feb 4, 2015 Accepting new patients
CGH Medical Center CurrentSince Sep 1, 2024 Accepting new patients
CGH Medical Center Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
CGH Medical Center Current Accepting new patients
Cater Chiropractic Clinic PC PastSince Feb 4, 2015 Accepting new patients
Greater Family Health Past Accepting new patients

Locations

1212 Currency Ct
Rochelle, IL 61068
Phone (815) 227-9594

461 N Mulford Rd
Ste 3
Rockford, IL 61107
Phone (815) 227-1600

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

Interoperability endpoints

  • Direct secure messaging: dalanis19840@cghmc.direct-ci.com

Organizations & group practices 6

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 5

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1922007418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 N MULFORD RD STE 3",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075165",
            "telephone_number": "815-227-9594",
            "fax_number": "815-227-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 N MULFORD RD STE 3",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075165",
            "telephone_number": "815-227-9594",
            "fax_number": "815-227-9574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Currency Ct",
            "address_purpose": "LOCATION",
            "city": "Rochelle",
            "state": "IL",
            "postal_code": "610682321",
            "country_code": "US",
            "telephone_number": "815-227-9594",
            "fax_number": "815-227-9574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALANIS",
        "first_name": "DIANA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036109226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3625485496111001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "ORTEGA",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.