DR. DALLAS JOSEPH DE LA VARA (MD) – Neurology Physician, NPI 1235624321

DR. DALLAS JOSEPH DE LA VARA (MD) is a healthcare provider. based in Chicago, Illinois. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. ME158555 (FL). The NPI Number for DR. DALLAS JOSEPH DE LA VARA (MD) is 1235624321

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. DALLAS JOSEPH DE LA VARA (MD)
NPI
1235624321
Phone
(185) 834-2738
Address
2933 N SHERIDAN RD APT 1206
Enumeration Date
29 June 2018
Last Update Date
31 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
7144567004
Graduation Year
2018 (8 years ago)
PAC ID
4183083165
Group Practice PAC ID
2769476357
Professional Enrollment ID
I20240807004711
Address ID
CA928683201OR101XXSXXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,847 NEUROLOGY in FL

Provider Addresses for DR. DALLAS JOSEPH DE LA VARA (MD)

  • 2933 N SHERIDAN RD APT 1206

    CHICAGO, IL 606575947

    Phone: (185) 834-2738

    Type: Mailing

  • 1505 SW Archer Rd

    Gainesville, FL 326081134

    Phone: (352) 265-8408

    Type: Location

  • 3009 SW Williston Rd

    Gainesville, FL 326083928

    Phone: (352) 294-5400

    Type: Location

  • 1600 SW Archer Rd

    Gainesville, FL 326105317

    Phone: (352) 273-5550

    Fax: (352) 273-5575

    Type: Location

  • NYC Health + Hospitals/Woodhull, 760, Broadway, Brooklyn, Kings County, New York, 11206, United States

    BROOKLYN, NY 112065317

    Phone: (718) 963-8000

    Type: Location

  • 200 S MANCHESTER AVE STE 300

    ORANGE, CA 928683219

    Phone: (714) 456-8888

    Fax: (352) 273-5575

    Type: Mailing

  • 101 THE CITY DR S

    ORANGE, CA 928683201

    Phone: (714) 456-8888

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Lundbeck LLC ($80).

Total Amount

$80

General + Research + Ownership

Payments

1

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lundbeck LLC$80
View all Open Payments →|Open Payments Risk Radar →

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: 2024-08-07

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
I20240807004711INeurologyCATBD

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 60657)

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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: 2769476357View full group profile
NameSpecialtyState
Clinical PsychologistCA
N E U R O L O G YCO
N E U R O L O G YCA
N E U R O L O G YCA
N E U R O L O G YCA
N E U R O L O G YCA
Neurology, Critical Care (Intensivists)CA
N E U R O L O G YCA
N E U R O L O G YCA
N E U R O L O G YMD

Reviews

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Frequently asked questions

What is the registry number for DR. DALLAS JOSEPH DE LA VARA (MD)?
The registry entry for DR. DALLAS JOSEPH DE LA VARA (MD) shows NPI 1235624321.
Is DR. DALLAS JOSEPH DE LA VARA (MD)'s NPI status active today?
Active status means DR. DALLAS JOSEPH DE LA VARA (MD)'s NPI record is not deactivated in the public file.
How should patients interpret DR. DALLAS JOSEPH DE LA VARA (MD)'s specialty?
The extract shows Neurology Physician for DR. DALLAS JOSEPH DE LA VARA (MD). Clinical services aligned with this taxonomy classification.
Is DR. DALLAS JOSEPH DE LA VARA (MD) tied to Chicago, Illinois?
If you are local to Chicago, Illinois, DR. DALLAS JOSEPH DE LA VARA (MD) may be relevant to your search.
Who maintains DR. DALLAS JOSEPH DE LA VARA (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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