MR. DANIEL CEBALLOS NURSE PRACTITIONER
NPI 1659449767
Nurse Practitioner - Adult Health in Chicago, IL

Q: What is Daniel Ceballos's NPI number?

The NPI number for Daniel Ceballos is 1659449767. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Daniel Ceballos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Ceballos was last updated on September 29, 2020. 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.

Active since November 30, 2006PECOS Enrolled

3600 W FULLERTON AVE, CHICAGO, IL 60647(773) 782-2800 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 29, 2020, Jan 30, 2020 (2 updates tracked since 2020).

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About Mr. Daniel Ceballos Nurse Practitioner NPPES

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

MR. DANIEL CEBALLOS NURSE PRACTITIONER (NPI 1659449767) is an individual adult health provider in Chicago, Illinois, licensed in Illinois (209-003925) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1659449767

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameMR. DANIEL CEBALLOSCredential: NURSE PRACTITIONER

Location Address3600 W FULLERTON AVEChicago, IL 60647-2319

Mailing Address2440 W Harrison St Apt 4Chicago, IL 60612-3788 · (312) 421-3219

Phone(773) 782-2800

Sole ProprietorYes

Enumeration DateNovember 30, 2006

Last NPPES UpdateSeptember 29, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2020

✔ NPI 1659449767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in IL · 209-003925

3600 W FULLERTON AVE, Chicago, IL 60647

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Secondary Practice Location 1

Location 110 S Kedzie AveChicago, IL 60612-2706 · Phone (312) 746-7335 · Fax (312) 746-9049

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Daniel Ceballos Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60647 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

$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.

MISS SANDRA FRANK APN

Nurse Practitioner