MRS. DANIELLE GENGO (R.D.) – Registered Dietitian, NPI 1003053612

MRS. DANIELLE GENGO (R.D.) is a healthcare provider. based in Berwyn, Illinois. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials R.D.. They hold a License No. 164.003918 (IL). The NPI Number for MRS. DANIELLE GENGO (R.D.) is 1003053612

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DANIELLE GENGO (R.D.)
NPI
1003053612
Phone
Not provided
Address
3249 OAK PARK AVE
Enumeration Date
20 January 2009
Last Update Date
29 August 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8474923040
Graduation Year
2000 (26 years ago)
PAC ID
9133284284
Group Practice PAC ID
2264462977
Professional Enrollment ID
I20090224000615
Address ID
IL600771034SK5230XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

311 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in IL

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Provider Addresses for MRS. DANIELLE GENGO (R.D.)

  • MacNeal Hospital, 3249, Oak Park Avenue, Berwyn, Cook County, Illinois, 60402, United States

    BERWYN, IL 604023429

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090224000615IRegistered Dietitian Or Nutrition ProfessionalILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60402)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264462977View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalIL
Physician AssistantIL
Internal Medicine, Hematology/OncologyIL
-IL
Medical OncologyIL

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. DANIELLE GENGO (R.D.)?
NPI 1003053612 is assigned to MRS. DANIELLE GENGO (R.D.) under the national enumeration system.
Is MRS. DANIELLE GENGO (R.D.) active in the national directory?
MRS. DANIELLE GENGO (R.D.)'s public NPI profile is in an active state.
Does MRS. DANIELLE GENGO (R.D.) list a primary specialty?
If you are matching referrals, note Registered Dietitian for MRS. DANIELLE GENGO (R.D.). Clinical services aligned with this taxonomy classification.
Where does public data place MRS. DANIELLE GENGO (R.D.)?
The snapshot lists Berwyn, Illinois for MRS. DANIELLE GENGO (R.D.); download NPPES for the complete set.
What if Berwyn, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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