Individual provider Active NPI

Daniela Cristina Dittmar, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1942723366
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.150411 Issued in IL
Practice address
1937 W 35TH St
Chicago, IL 60609-1206
Phone
(773) 523-8014
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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 036.150411 IL Primary

Addresses

Primary practice location

1937 W 35TH St
Chicago, IL 60609-1206

Mailing address

1937 W 35TH St
Chicago, IL 60609-1206
Phone (312) 522-9827

Other practice location 1

1501 S California Ave Ste L1026
Chicago, IL 60608-1732
Phone (773) 257-6097

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
I20200403000493 IL Practitioner - Family Practice 5193154631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians

Practice addresses (Care Compare)

1859 S Blue Island Ave
Chicago, IL 60608-3012
Phone (312) 738-3111

1937 W 35TH St
Chicago, IL 60609-1206
Phone (773) 523-8014

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Chicago, IL, CCN 140133
  • Mt Sinai Hospital Medical Center Hospital, Chicago, IL, CCN 140018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.150411ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation CurrentSince Jun 1, 2020 Accepting new patients
Curavita LLC Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jun 1, 2020 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Mount Sinai Hospital Past Accepting new patients
Rogelio Liboon MD SC Family Medicine PastSince Apr 13, 2025 Accepting new patients

Locations

1859 S Blue Island Ave
Chicago, IL 60608
Phone (312) 666-5455

600 W 26th St
Chicago, IL 60616
Phone (312) 513-0170

1501 S California Ave
Ste L1026
Chicago, IL 60608
Phone (773) 202-5760

1501 S California Ave
#7140
Chicago, IL 60608
Phone (773) 257-4758

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

1937 W 35th St
Chicago, IL 60609
Phone (773) 523-8014

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEAIDD/Endpoint/GEAIDD

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 and National Provider Directory roles.

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": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1942723366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 W 35TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091206",
            "telephone_number": "312-522-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 W 35TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091206",
            "telephone_number": "773-523-8014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 S California Ave Ste L1026",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606081732",
            "country_code": "US",
            "telephone_number": "773-257-6097",
            "fax_number": "773-257-6045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DITTMAR",
        "first_name": "DANIELA",
        "middle_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.150411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.