NPIMap

Individual provider Active NPI

Dante Anthony Pimentel, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1972591527
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036111599 Issued in IL
Practice address
6032 S Halsted St
Suite 102
Chicago, IL 60621-2112
Phone
(773) 651-9200
Fax
(773) 651-9203
NPI assigned
Oct 7, 2005
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036111599 IL Primary
Hospitalist Physician 208M00000X 036111599 IL

Addresses

Primary practice location

6032 S Halsted St
Suite 102
Chicago, IL 60621-2112

Mailing address

326 W 64TH St
Chicago, IL 60621-3114
Phone (855) 276-5212

Other identifiers 4

IdentifierTypeStateIssuer
1634551OtherILBLUE CROSS BLUE SHIELD
036111599MedicaidIL
P00340190OtherILPALMETTO GBA-RAILROAD
211054OtherILMEDICARE GROUP

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
I20040922000909 IL Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Internal Medicine 5597733014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernard HospitalGroup PAC ID 1759361579, 43 clinicians
Iems Physician Services PLLCGroup PAC ID 2567802556, 64 clinicians

Practice addresses (Care Compare)

326 W 64TH St
Chicago, IL 60621-3114
Phone (630) 410-1171

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation for Emergency Services Current Accepting new patients
St Bernard Hospital CurrentSince May 1, 2024 Accepting new patients
St Bernard Hospital Current Accepting new patients
St Bernard Hospital & Health Care Center CurrentSince May 1, 2024 Accepting new patients
Foundation for Emergency Services CurrentSince Jun 20, 2012 Accepting new patients
Horizon Dante Pimentel PastSince Jan 1, 1990 Accepting new patients
Dr Dante Pimentel LTD PastSince May 10, 2008 Accepting new patients
Optimal Potential, Inc. Past Accepting new patients
South Haven Behavioral Modification II Inc PastSince Jul 8, 2005 Accepting new patients
Family Guidance Centers, Inc. PastSince Aug 16, 2022 Accepting new patients
Chicago Reach Foundation Internal Medicine Past Accepting new patients

Locations

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

326 W 64th St
Fl 3
Chicago, IL 60621
Phone (224) 659-7030

Interoperability endpoints

  • Direct secure messaging: dpimentel@direct-address.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Comfort Care Hospice and Palliative IncPalos Hills, IL, CCN 141667 Hospice W-2 Managing Employee Aug 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1972591527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 W 64TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213114",
            "telephone_number": "855-276-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6032 S HALSTED ST",
            "address_2": "SUITE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212112",
            "telephone_number": "773-651-9200",
            "fax_number": "773-651-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "DANTE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036111599",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036111599",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1634551",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111599",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RAILROAD",
            "identifier": "P00340190",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "211054",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.