DR. ANTON N DIETZEN M.D., D.C.
NPI 1063659076
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Chicago, IL

Q: What is Anton Dietzen's NPI number?

The NPI number for Anton Dietzen is 1063659076. It was assigned to this individual provider in the NPPES registry on January 13, 2009.

Q: What is Anton Dietzen's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Q: When was this NPI record last updated?

The NPPES record for Anton Dietzen was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 13, 2009PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

1750 W HARRISON ST, CHICAGO, IL 60612(312) 942-6510(312) 942-2867 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2023, Dec 8, 2020, Jul 15, 2016 (3 updates tracked since 2016).

On this page

About Dr. Anton N Dietzen M.d., D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANTON N DIETZEN M.D., D.C. (NPI 1063659076) is an individual pediatric rehabilitation medicine provider in Chicago, Illinois, licensed in Illinois (036149703) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1063659076

Entity TypeIndividualMale

Primary Taxonomy2081P0010X

Provider Legal NameDR. ANTON N DIETZENCredential: M.D., D.C.

Location Address1750 W HARRISON STChicago, IL 60612-3825

Mailing Address26w171 Roosevelt RdWheaton, IL 60187-6002 · (630) 909-7000 · Fax (630) 909-7002

Phone(312) 942-6510

Fax(312) 942-2867

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 13, 2009

Last NPPES UpdateSeptember 12, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2023

✔ NPI 1063659076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P0010X

License✔ Licensed in IL · 036149703

Definition

A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.

Also ListedChiropractorTaxonomy 111N00000X · License 038011314 (IL)

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License D0089692 (MD), 036149703 (IL)

Also ListedSurgeryTaxonomy 208600000X · License 125.069633 (IL)

1750 W HARRISON ST, Chicago, IL 60612

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Secondary Practice Locations 3

Location 1601 N Caroline St # 1163Baltimore, MD 21287-0006 · Phone (410) 502-5357 · Fax (410) 614-4033

Location 2707 N BroadwayBaltimore, MD 21205-1832 · Phone (443) 923-7588 · Fax (443) 923-7588

Location 326W171 Roosevelt RdWheaton, IL 60187-6002 · Phone (630) 909-7000 · Fax (630) 909-7002

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anton N Dietzen M.d., D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163587924

PECOS Enrollment IDI20090211000776

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Anton Dietzen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Rehabilitation Care, LLC

2.6 mi

Physical Medicine & Rehabilitation

1401 S CALIFORNIA AVE STE 1
Chicago, IL 60608

Reassigned Medicare billing, Illinois enrollment
63 clinicians in this Medicare group

NPI 1285942722 (803) 627-8725

Chicago Health And Physical Therapy Center Sc

7.7 mi

Clinic/Center

5545 W MONTROSE AVE
Chicago, IL 60641

Reassigned Medicare billing, Illinois enrollment
10 clinicians in this Medicare group

NPI 1861421950 (773) 282-6648

Central Dupage Physician Group

22 mi

Family Medicine

5777 DEPARTMENT
Carol Stream, IL 60122

Reassigned Medicare billing, Illinois enrollment
1,664 clinicians in this Medicare group

NPI 1033149844 (630) 933-3300

Johns Hopkins University

591 mi

Neurological Surgery

8600 OLD GEORGETOWN RD
Bethesda, MD 20814

Reassigned Medicare billing, Maryland enrollment
4,483 clinicians in this Medicare group

NPI 1578569240 (410) 955-5000

Kennedy Krieger Associates

597 mi

Pediatrics

11830 W MARKET PL STE NQ
Fulton, MD 20759

Reassigned Medicare billing, Maryland enrollment
352 clinicians in this Medicare group

NPI 1962211953 (443) 923-9327

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

109 services108 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

108 services89 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

61 services54 patients

Imaging for evaluation of swallowing function 74230

This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.

43 services40 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

30 services30 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140211

Location300 Randall RdGeneva, IL 60134 · Kane County

Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SITARAM VENKATA CHIVUKULA

Student in an Organized Health Care Education/Training Program

1750 W HARRISON ST, SUITE 785
CHICAGO, IL 60612

Cook County (312) 942-6510

MS. AMY KRISTEEN WINSTON AU.D.

Audiologist

1750 W HARRISON ST, 203 SENN
CHICAGO, IL 60612

Cook County (312) 942-5332

DR. BRETT MICHAEL MAHON M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1750 W HARRISON ST, JELKE, SUITE 570
CHICAGO, IL 60612

Cook County (312) 942-5260

DR. MOHAMED RAFAT AKKAD WATTAR MD

Pathology (Anatomic Pathology & Clinical Pathology)

1750 W HARRISON ST
CHICAGO, IL 60612

Cook County (312) 942-5471

CHERYL ELISE HORNSBY MD

Surgery

1750 W HARRISON ST
CHICAGO, IL 60612

Cook County (312) 942-6510

TALIB CHAUDHRY MD

Surgery

1750 W HARRISON ST
CHICAGO, IL 60612

Cook County (312) 942-6510

DR. LISA ANN PITELKA M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1750 W HARRISON ST, 570 JELKE, DEPARTMENT OF PATHOLOGY
CHICAGO, IL 60612

Cook County (312) 942-5260

MS. KISHA D JOHNSON MD, CGC

Genetic Counselor, MS

1750 W HARRISON ST, 1507 JELKE
CHICAGO, IL 60612

Cook County (312) 942-6298

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anton Dietzen's NPI number?

The NPI number for Anton Dietzen is 1063659076. It was assigned to this individual provider in the NPPES registry on January 13, 2009.

Where is Anton Dietzen located?

Anton Dietzen practices at 1750 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 942-6510.

What is Anton Dietzen's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Is Anton Dietzen enrolled in Medicare?

Yes. Anton Dietzen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Anton Dietzen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anton Dietzen reassigns Medicare benefits to 5 organizations: Advanced Rehabilitation Care, LLC (Chicago, IL), Chicago Health And Physical Therapy Center Sc (Chicago, IL), Central Dupage Physician Group (Carol Stream, IL), Johns Hopkins University (Bethesda, MD) and Kennedy Krieger Associates (Fulton, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anton Dietzen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Anton Dietzen affiliated with any hospitals?

According to CMS data, Anton Dietzen is affiliated with Northshore University Healthsystem - Evanston Hospital, Northwestern Medicine Delnor Community Hospital and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Anton Dietzen was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.