DAVID MICHAEL DIMAURO PA-C
NPI 1336997550
Physician Assistant in Lake Forest, IL

Q: What is David Dimauro's NPI number?

The NPI number for David Dimauro is 1336997550. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Q: What is David Dimauro's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Dimauro was last updated on December 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 13, 2024PECOS Enrolled

1000 N WESTMORELAND RD, LAKE FOREST, IL 60045(847) 535-6150(847) 535-7801 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 23, 2025, May 13, 2024 (2 updates tracked since 2024).

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About David Michael Dimauro Pa-c NPPES

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

DAVID MICHAEL DIMAURO PA-C (NPI 1336997550) is an individual physician assistant in Lake Forest, Illinois, licensed in Illinois (085011373) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and is a graduate of Northwestern University Feinberg Medical School (2025).

NPPES Registry Identity

NPI1336997550

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameDAVID MICHAEL DIMAUROCredential: PA-C

Location Address1000 N WESTMORELAND RDLake Forest, IL 60045-1658

Mailing Address1000 N Westmoreland RdLake Forest, IL 60045-1658 · (847) 535-6150 · Fax (847) 535-7801

Phone(847) 535-6150

Fax(847) 535-7801

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2025

Enumeration DateMay 13, 2024

Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration

NPPES CertifiedDecember 23, 2025

✔ NPI 1336997550 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 · 085011373

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.

1000 N WESTMORELAND RD, Lake Forest, IL 60045

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Michael Dimauro Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658874813

PECOS Enrollment IDI20250912001624

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.

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140130

Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60045 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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.

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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.

CONSOLIDATED PATHOLOGY CONSULTANTS SC

Pathology (Anatomic Pathology & Clinical Pathology)