MR. DANIEL P VICENCIO (M.D.) – Internal Medicine Physician, NPI 1174508246
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
Provider Addresses for MR. DANIEL P VICENCIO (M.D.)
1276 N Clybourn Ave
Chicago, IL 606102089
Phone: (312) 337-1073
Type: Location
Mercy Hospital & Medical Center, 2525, South Michigan Avenue, Near South Side, Chicago, Cook County, Illinois, 60616, United States
B-390
CHICAGO, IL 606162333
Phone: (312) 567-6691
Fax: (312) 328-7702
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $594.
Total Amount is formed as General ($594) + Research ($0) + Ownership ($0) = $594.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Gilead Sciences, Inc. ($272).
Total Amount
$594
General + Research + Ownership
Payments
26
Total payment records
General Amount
$594
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $272 |
| ViiV Healthcare Company | $203 |
| USWM, LLC | $37 |
| Merck Sharp & Dohme LLC | $34 |
| EMD Serono, Inc. | $30 |
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: 2010-10-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101019001589 | I | Internal Medicine | IL | TBD |
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.
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 60610)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| Family Practice | WA | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Family Practice | IL |
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