Dominic J Gaziano


Address: 1366 W Fullerton Ave, Chicago, IL 60614-2929
Phone: 7732489300

Dominic J Gaziano (NPI# 1275699209, PAC ID# 9931239555) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1275699209
PAC ID by PECOS 9931239555
Professional Enrollment ID I20100608000860
Full Name Dominic J Gaziano
Address 1366 W Fullerton Ave
Chicago
IL 60614-2929
Phone Number 7732489300
Gender M
Medical School WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1992
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140180 PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER
140082 LOUIS A WEISS MEMORIAL HOSPITAL
140115 THOREK MEMORIAL HOSPITAL
140182 ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
140114 SWEDISH COVENANT HOSPITAL

Other Locations

Address Phone Organization
1366 W Fullerton Ave, Chicago, IL 60614-2929 7732489300
2222 W Division St, Suite 110, Chicago, IL 60622-3093 7732524848
4646 N Marine Dr, Chicago, IL 60640-5759 7738788700

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100%
MIPS_EC_155_overall Falls: Plan of Care 100%

Organization Information

Office Location

Street Address 1366 W FULLERTON AVE
City CHICAGO
State IL
Zip 60614-2929

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Competitor

Search similar physicians

City CHICAGO
Zip Code 60614
Specialty INTERNAL MEDICINE
City + Specialty CHICAGO + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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