Lisa Dejuana Daniel, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036.111457 Issued in IL

Practice address

3223 W 63Rd St
Chicago, IL 60629

Phone

(773) 768-5000

Fax

(773) 778-9593

NPI assigned

Jun 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IN, IL2 enrollments

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 2

Specialty

Obstetrics/Gynecology

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union Hospital IncGroup PAC ID 8426943614, 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.daniel.1@18277.direct.athenahealth.com
• Direct secure messaging: ldaniel278453@direct.myadvocateaurora.org

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.

• Union Hospital, Inc.

  • Family Medicine Physician
  • Terre Haute, IN
  • NPI 1013965573

  IN, Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Advocate Health and Hospitals Corporation

  • Multi-Specialty Clinic/Center
  • Oak Brook, IL
  • NPI 1700824455

  IL

  Medicare reassignment NPD
• Obhg Illinois SC

  • Obstetrics & Gynecology Physician
  • Berwyn, IL
  • NPI 1700107216

  IL, Obstetrics & Gynecology

  Medicare reassignment NPD
• Rockford Health Physicians

  • Multi-Specialty Clinic/Center
  • Rockford, IL
  • NPI 1043242886

  IL

  Medicare reassignment NPD
• Susan Orhan MD PC

  • Obstetrics & Gynecology Physician
  • Hoffman Estates, IL
  • NPI 1932113362

  IL, Obstetrics & Gynecology

  Medicare reassignment NPD
• Obhg Indiana, PC

  • Obstetrics & Gynecology Physician
  • Evansville, IN
  • NPI 1811232218

  IN, Obstetrics & Gynecology

  Medicare reassignment NPD
• Union Associated Physicians Clinic, LLC

  • Family Medicine Physician
  • Terre Haute, IN
  • NPI 1891028379

  IN

  Medicare reassignment NPD
• Union Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Clinton, IN
  • NPI 1487652319
  Care Compare group NPD
• Union Hospital Inc

  • Rural Health Clinic/Center
  • Marshall, IL
  • NPI 1952335192
  Care Compare group
• Union Hospital Inc

  • Rural Health Clinic/Center
  • Brazil, IN
  • NPI 1013087048
  Care Compare group
• Union Hospital Inc

  • Rehabilitation Hospital Unit
  • Terre Haute, IN
  • NPI 1932107802
  Care Compare group
• Union Hospital Inc.

  • Rural Health Clinic/Center
  • Clay City, IN
  • NPI 1235120882
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Union Hospital Inc.

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1619975331

  Hospital

  Care Compare affiliation
• Union Hospital, Inc

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1821859752

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1982632865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 S EXCHANGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174225",
            "telephone_number": "773-768-5000",
            "fax_number": "773-768-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60629",
            "telephone_number": "773-768-5000",
            "fax_number": "773-778-9593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 W 111th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606284215",
            "country_code": "US",
            "telephone_number": "773-768-5000",
            "fax_number": "773-816-5090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9119 S Exchange Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606174225",
            "country_code": "US",
            "telephone_number": "773-768-5000",
            "fax_number": "773-768-7706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2320 E 93rd St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606173909",
            "country_code": "US",
            "telephone_number": "773-967-3272",
            "fax_number": "773-967-3293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "LISA",
        "middle_name": "DEJUANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.111457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111457",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldaniel278453@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2320 E 93rd St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606173909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2320 E 93rd St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606173909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ines Daniel, FNP-C
• Irina Daniel, D.O.
• Jessica Daniel, NURSE PRACTITIONER
• Julia Nicole Daniel, LPC
• Latrice Daniel
• Lorraine A Daniel, PSY.D.
• Patrycja Maria Daniel, LAC
• Ruby Sonia Daniel, POSTPARTUM DOULA
• Shiny Daniel, NP C
• Daniela Jannette Wellness and Nutrition Counseling, LLC

• All providers in Chicago, IL
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.