DANIEL BIANCHI
NPI 1942794680
Internal Medicine in Chicago, IL

Active since June 16, 2018PECOS EnrolledAccepts Medicare Assignment
1717 W CONGRESS PKWY, CHICAGO, IL 60612(312) 942-4200 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2023, Jun 16, 2018 (2 updates tracked since 2018).

About Daniel Bianchi NPPES

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

DANIEL BIANCHI (NPI 1942794680) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036164004) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1942794680
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDANIEL BIANCHI
Location Address1717 W CONGRESS PKWYChicago, IL 60612-3809
Mailing Address1717 W Congress PkwyChicago, IL 60612-3809 · (312) 942-4200
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2018
Enumeration DateJune 16, 2018
Last NPPES UpdateJune 1, 20232 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
NPI 1942794680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in IL · 036164004 Licensed in OH · 57.246216
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.
1717 W CONGRESS PKWY, Chicago, IL 60612

Secondary Practice Location 1

Location 1Cleveland Clinic 9500 Euclid Avenue/Na-23Cleveland, OH 44195-0001 · Phone (216) 444-2200

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

Daniel Bianchi 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 ID1557618469
PECOS Enrollment IDI20230816001684
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
385 services143 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
91 services54 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
88 services82 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
75 services72 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients
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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

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
$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.

Physician Assistant
1717 W CONGRESS PKWY
CHICAGO, IL 60612
Hospitalist
1717 W CONGRESS PKWY
CHICAGO, IL 60612
Internal Medicine
1717 W CONGRESS PKWY
CHICAGO, IL 60612
Hospitalist
1717 W CONGRESS PKWY
CHICAGO, IL 60612
Internal Medicine
1717 W CONGRESS PKWY
CHICAGO, IL 60612
Hospitalist
1717 W CONGRESS PKWY
CHICAGO, IL 60612
Hospitalist
1717 W CONGRESS PKWY
CHICAGO, IL 60612
Internal Medicine
1717 W CONGRESS PKWY
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 Daniel Bianchi's NPI number?

The NPI number for Daniel Bianchi is 1942794680. It was assigned to this individual provider in the NPPES registry on June 16, 2018.

Where is Daniel Bianchi located?

Daniel Bianchi practices at 1717 W Congress Pkwy, Chicago, IL 60612. The listed phone number is (312) 942-4200.

What is Daniel Bianchi's specialty?

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

Is Daniel Bianchi enrolled in Medicare?

Yes. Daniel Bianchi 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 Bianchi accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Daniel Bianchi 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 Bianchi affiliated with any hospitals?

According to CMS data, Daniel Bianchi is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Bianchi was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.