1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Internal Medicine
  6. NPI Profile

MR. DANIEL P VICENCIO M.D.
NPI 1174508246
Internal Medicine in Chicago, IL

Active since December 13, 2005PECOS EnrolledAccepts Medicare Assignment
2525 S MICHIGAN AVE, B-390, CHICAGO, IL 60616(312) 567-6691(312) 328-7702 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Daniel P Vicencio M.d. NPPES

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

MR. DANIEL P VICENCIO M.D. (NPI 1174508246) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036088743) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1174508246
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. DANIEL P VICENCIOCredential: M.D.
Location Address2525 S MICHIGAN AVE, B-390Chicago, IL 60616-2333
Mailing Address2525 S Michigan Ave, B-390Chicago, IL 60616-2333 · (312) 567-6691 · Fax (312) 328-7702
Phone(312) 567-6691
Fax(312) 328-7702
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1992
Enumeration DateDecember 13, 2005
Last NPPES UpdateMay 6, 2021
NPPES CertifiedMay 6, 2021
✔ NPI 1174508246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036088743
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2525 S MICHIGAN AVE, Chicago, IL 60616
Open in Google Maps ↗

Secondary Practice Location 1

Location 11276 N Clybourn AveChicago, IL 60610-2089 · Phone (312) 337-1073

Other Identifiers 2

Other01621679IL · Bcbs Of Il
Medicaid036088743IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Daniel P Vicencio M.d. 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 ID6406049741
PECOS Enrollment IDI20101019001589
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.

Hospital Affiliations CMS Care Compare

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60616 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HANIYA SAEED MD
Internal Medicine
2525 S MICHIGAN AVE
CHICAGO, IL 60616
Cook County (312) 567-2000
MR. ROBERT J GALLIGAN PSY.D.
Psychologist (Clinical)
2525 S MICHIGAN AVE, B-390
CHICAGO, IL 60616
Cook County (312) 567-6691
MR. ROUEEN RAFEYAN M.D.
Psychiatry & Neurology (Addiction Medicine)
2525 S MICHIGAN AVE, B-390
CHICAGO, IL 60616
Cook County (312) 567-6691
DARYL WAYNE MCKEE DO
Obstetrics & Gynecology
2525 S MICHIGAN AVE
CHICAGO, IL 60616
Cook County (312) 567-2000
MAURO HENRIQUE ANGHINONI BONISSONI
Student in an Organized Health Care Education/Training Program
2525 S MICHIGAN AVE
CHICAGO, IL 60616
Cook County (312) 567-2424
MAHMOOD MOHIUDDIN MOHAMMED M.B.B.S.
Student in an Organized Health Care Education/Training Program
2525 S MICHIGAN AVE
CHICAGO, IL 60616
Cook County (312) 567-2424
DR. YASIR M M FARAH MD
Internal Medicine (Critical Care Medicine)
2525 S MICHIGAN AVE
CHICAGO, IL 60616
Cook County (312) 567-2000
PRAIRE SHORES DENTAL
Dentist (General Practice)
2525 S MICHIGAN AVE, 8TH FL
CHICAGO, IL 60616
Cook County (312) 567-2299

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 Daniel Vicencio's NPI number?

The NPI number for Daniel Vicencio is 1174508246. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Daniel Vicencio located?

Daniel Vicencio practices at 2525 S Michigan Ave B-390, Chicago, IL 60616. The listed phone number is (312) 567-6691.

What is Daniel Vicencio's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Daniel Vicencio enrolled in Medicare?

Yes. Daniel Vicencio 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.

What insurance does Daniel Vicencio accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Daniel Vicencio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Daniel Vicencio affiliated with any hospitals?

According to CMS data, Daniel Vicencio is affiliated with The University Of Chicago Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Vicencio was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.