DARITZA HERRERA
NPI 1184109282
Physician Assistant in Chicago, IL

Active since September 25, 2018PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
1725 W HARRISON ST STE 1159, CHICAGO, IL 60612(312) 942-5020 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2023, Sep 25, 2018 (2 updates tracked since 2018).

About Daritza Herrera NPPES

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

DARITZA HERRERA (NPI 1184109282) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085.009936) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Rush Oak Park Hospital, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1184109282
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDARITZA HERRERA
Location Address1725 W HARRISON ST STE 1159Chicago, IL 60612-3883
Mailing Address1725 W Harrison St Ste 1159Chicago, IL 60612-3883 · (312) 942-5020
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 25, 2018
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
NPI 1184109282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085.009936
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1725 W HARRISON ST STE 1159, Chicago, IL 60612

Secondary Practice Location 1

Location 19300 Fontainebleau Blvd Apt 409Miami, FL 33172-6327 · Phone (786) 616-0074

Accepted 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

Daritza Herrera 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 ID9032546387
PECOS Enrollment IDI20231017002050
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.

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
223 services184 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.
208 services181 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
81 services81 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
69 services56 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
37 services33 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.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140063
Location520 S Maple AveOak Park, IL 60304 · Cook County
Emergency services

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

Internal Medicine (Cardiovascular Disease)
1725 W HARRISON ST STE 1159
CHICAGO, IL 60612
Physician Assistant (Medical)
1725 W HARRISON ST STE 1159
CHICAGO, IL 60612
Internal Medicine (Cardiovascular Disease)
1725 W HARRISON ST STE 1159
CHICAGO, IL 60612
Internal Medicine (Cardiovascular Disease)
1725 W HARRISON ST STE 1159
CHICAGO, IL 60612
Nurse Practitioner (Acute Care)
1725 W HARRISON ST STE 1159
CHICAGO, IL 60612
Internal Medicine (Cardiovascular Disease)
1725 W HARRISON ST STE 1159
CHICAGO, IL 60612
Internal Medicine (Interventional Cardiology)
1725 W HARRISON ST STE 1159
CHICAGO, IL 60612
Internal Medicine (Cardiovascular Disease)
1725 W HARRISON ST STE 1159
CHICAGO, IL 60612

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 Daritza Herrera's NPI number?

The NPI number for Daritza Herrera is 1184109282. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Daritza Herrera located?

Daritza Herrera practices at 1725 W Harrison St Ste 1159, Chicago, IL 60612. The listed phone number is (312) 942-5020.

What is Daritza Herrera's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Daritza Herrera enrolled in Medicare?

Yes. Daritza Herrera 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 Daritza Herrera accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Daritza Herrera 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 Daritza Herrera affiliated with any hospitals?

According to CMS data, Daritza Herrera is affiliated with Rush Oak Park Hospital and Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Daritza Herrera was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.