Individual provider Active NPI

Diana D Cano Mujica de Chirinos, M.D

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1942660758
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125063555 Issued in IL
Practice address
625 W Madison St Apt 1008
Chicago, IL 60661-2720
Phone
(312) 909-3831
NPI assigned
Mar 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125063555 IL Primary

Addresses

Primary practice location

625 W Madison St Apt 1008
Chicago, IL 60661-2720

Mailing address

625 W Madison St Apt 1008
Chicago, IL 60661-2720
Phone (312) 909-3831

Other identifiers 1

IdentifierTypeStateIssuer
1447610233OtherILNPI

Other names 1

  • Diana D Cano Mujica Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20160517000710 IA Practitioner - Internal Medicine 1850697202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3941

Hospital & facility affiliations

  • Allen Hospital Hospital, Waterloo, IA, CCN 160110
  • Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Oct 22, 2018 Accepting new patients
Salahuddin Syed MD PC Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Oct 22, 2018 Accepting new patients
Allen Memorial Hospital Corporation Past Accepting new patients
John H Stroger Hospital of Cook County Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

Interoperability endpoints

  • Direct secure messaging: dcanomujicadechirinos415624@direct.unitypoint.org

Organizations & group practices 7

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 2

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": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1942660758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W MADISON ST APT 1008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612720",
            "telephone_number": "312-909-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W MADISON ST APT 1008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612720",
            "telephone_number": "312-909-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANO MUJICA DE CHIRINOS",
        "first_name": "DIANA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125063555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447610233",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "CANO MUJICA",
            "middle_name": "D",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.