Individual provider Active NPI

Daniel Michael Parise, DPM

  • Foot & Ankle Surgery Podiatrist
  • Melrose Park, IL
National Provider Identifier
1962796631
Registry record updated Nov 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005839 Issued in IL
Practice address
675 W North Ave Ste 409
Melrose Park, IL 60160-1624
Phone
(312) 852-2525
Fax
(949) 404-8351
NPI assigned
May 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PO3872 FL
Foot & Ankle Surgery Podiatrist 213ES0103X 016005839 IL Primary

Addresses

Primary practice location

675 W North Ave Ste 409
Melrose Park, IL 60160-1624

Mailing address

675 W North Ave
Ste 409
Melrose Park, IL 60160-1624
Phone (312) 852-2525

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190718003194 IL Practitioner - Podiatry 8022331925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parise Preferred Podiatry CorpGroup PAC ID 4789919374, 2 clinicians

Practice addresses (Care Compare)

675 W N Ave
Suite 301
Melrose Park, IL 60160-1623
Phone (312) 852-2525

Merit-based Incentive Payment System (MIPS)

Final score
78.58 of 100Reported as individual
Quality
48.79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions14
Removal of nail tissue2944
Removal or shaving of skin growth456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3872FLMDFoot Surgery Podiatrist
761TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center Current Accepting new patients
Parise Preferred Podiatry Corp Foot & Ankle Surgery CurrentSince Jun 12, 2019 Accepting new patients

Locations

675 W North Ave
Ste 409
Melrose Park, IL 60160
Phone (708) 450-5070

675 W North Ave
Ste 104
Melrose Park, IL 60160
Phone (708) 681-7695

675 W North Ave
Ste 301
Melrose Park, IL 60160
Phone (312) 852-2525

Interoperability endpoints

  • Direct secure messaging: dparise124871@direct.luhs.org
  • Direct secure messaging: parise.dam@direct.meditouchehr.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668902400000",
    "number": "1962796631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "STE 409",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601624",
            "telephone_number": "312-852-2525",
            "fax_number": "866-446-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE STE 409",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601624",
            "telephone_number": "312-852-2525",
            "fax_number": "949-404-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISE",
        "first_name": "DANIEL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-30",
        "last_updated": "2022-11-20",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO3872",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

Verify at the official NPI Registry.