DR. SOULEYMANE DIALLO DPM
NPI 1831713676
Podiatrist - Foot & Ankle Surgery in Chicago, IL

Active since June 06, 2020PECOS EnrolledAccepts Medicare Assignment
4646 N MARINE DR, CHICAGO, IL 60640(773) 878-8700 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 27, 2020, Jun 10, 2020, Jun 6, 2020 (3 updates tracked since 2020).

About Dr. Souleymane Diallo Dpm NPPES

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

DR. SOULEYMANE DIALLO DPM (NPI 1831713676) is an individual foot & ankle surgery provider in Chicago, Illinois, licensed in Illinois (135.001086) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2020).

NPPES Registry Identity

NPI1831713676
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. SOULEYMANE DIALLOCredential: DPM
Location Address4646 N MARINE DRChicago, IL 60640-5759
Mailing Address4646 N Marine DrChicago, IL 60640-5759 · (773) 878-8700
Sole ProprietorYes
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2020
Enumeration DateJune 6, 2020
Last NPPES UpdateJuly 27, 20203 updates tracked since enumeration
NPPES CertifiedJuly 27, 2020
✔ NPI 1831713676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IL · 135.001086
4646 N MARINE DR, Chicago, IL 60640

Accepted Insurance

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. Souleymane Diallo Dpm 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 ID5991116220
PECOS Enrollment IDI20240506001167
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 Reassignment

Medicare enrollment records show Souleymane Diallo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
2901 W TOUHY AVE
Chicago, IL 60645
  • Reassigned Medicare billing, Illinois enrollment
  • 646 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

Holy Cross Hospital

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140133
Location2701 W 68th StreetChicago, IL 60629 · Cook County
Emergency services

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
4646 N MARINE DR
CHICAGO, IL 60640
Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640
Anesthesiology
4646 N MARINE DR
CHICAGO, IL 60640
Chronic Disease Hospital
4646 N MARINE DR
CHICAGO, IL 60640
Orthopaedic Surgery
4646 N MARINE DR, SUITE 3A
CHICAGO, IL 60640
Psychiatry & Neurology (Neurology)
4646 N MARINE DR
CHICAGO, IL 60640
Speech-Language Pathologist
4646 N MARINE DR, OUTPATIENT PHYSICAL THERAPY DEPT. 1ST FLOOR
CHICAGO, IL 60640
Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640

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 Souleymane Diallo's NPI number?

The NPI number for Souleymane Diallo is 1831713676. It was assigned to this individual provider in the NPPES registry on June 6, 2020.

Where is Souleymane Diallo located?

Souleymane Diallo practices at 4646 N Marine Dr, Chicago, IL 60640. The listed phone number is (773) 878-8700.

What is Souleymane Diallo's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Souleymane Diallo enrolled in Medicare?

Yes. Souleymane Diallo 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 organization bills Medicare for Souleymane Diallo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Souleymane Diallo reassigns Medicare benefits to Mount Sinai Community Foundation (Chicago, IL). The 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 Souleymane Diallo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Souleymane Diallo accept?

Health plans from Ambetter Health and Oscar Health list Souleymane Diallo 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 Souleymane Diallo affiliated with any hospitals?

According to CMS data, Souleymane Diallo is affiliated with Mt Sinai Hospital Medical Center and Holy Cross Hospital.

When was this NPI record last updated?

The NPPES record for Souleymane Diallo was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.