DR. VINCENT ANTHONY DIMAGGIO (M.D.) – Pediatrics Physician, NPI 1083053896

DR. VINCENT ANTHONY DIMAGGIO (M.D.) is a healthcare provider. based in Burr ridge, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036143596 (IL). The NPI Number for DR. VINCENT ANTHONY DIMAGGIO (M.D.) is 1083053896

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. VINCENT ANTHONY DIMAGGIO (M.D.)
NPI
1083053896
Phone
(773) 702-1150
Address
180 HARVESTER DR STE 110
Enumeration Date
14 June 2013
Last Update Date
18 October 2021

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
7315240470
Group Practice PAC ID
8921900044
Professional Enrollment ID
I20211026001060
Address ID
RI029034923PR593XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:13State licenses:3Digital endpointsOther names

8,828 INTERNAL MEDICINE in IL

Provider Addresses for DR. VINCENT ANTHONY DIMAGGIO (M.D.)

  • 180 HARVESTER DR STE 110

    BURR RIDGE, IL 605276686

    Phone: (773) 702-1150

    Type: Mailing

  • 5841 S MARYLAND AVE # MC5000

    CHICAGO, IL 60637

    Phone: (773) 702-5173

    Type: Location

  • 245 CHAPMAN ST STE 100

    PROVIDENCE, RI 029054539

    Phone: (401) 444-6118

    Type: Location

  • 800 E 55th St

    Chicago, IL 606154906

    Phone: (773) 702-0660

    Type: Location

  • 5841 S Maryland Ave # Mc5000

    Chicago, IL 60637

    Phone: (773) 702-5173

    Type: Location

  • 117 ELLENFIELD ST STE 101

    PROVIDENCE, RI 029054541

    Phone: (401) 444-6779

    Fax: (401) 444-6912

    Type: Mailing

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: 2021-10-26

PECOS data refreshed: 2026-06-15

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
I20211026001060IInternal MedicineRITBD

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 60527)

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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: 8921900044View full group profile
NameSpecialtyState
E N D O C R I N O L O G YRI
-RI
Internal MedicineRI
Pain ManagementRI
Gastroenterology, Pediatric MedicineRI
Internal MedicineRI
-RI
N E U R O L O G YRI
-RI
Nurse PractitionerRI

Reviews

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Frequently asked questions

What identifier follows DR. VINCENT ANTHONY DIMAGGIO (M.D.) across health systems?
The NPI 1083053896 uniquely identifies DR. VINCENT ANTHONY DIMAGGIO (M.D.) in U.S. healthcare data.
Does the public listing show DR. VINCENT ANTHONY DIMAGGIO (M.D.) as active?
DR. VINCENT ANTHONY DIMAGGIO (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. VINCENT ANTHONY DIMAGGIO (M.D.) provide?
DR. VINCENT ANTHONY DIMAGGIO (M.D.)'s profile centers on Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. VINCENT ANTHONY DIMAGGIO (M.D.)?
DR. VINCENT ANTHONY DIMAGGIO (M.D.) shows a connection to Burr Ridge, Illinois in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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