Individual provider Active NPI

Pauline Harding, M.D.

  • Family Medicine Physician
  • Warrenville, IL
National Provider Identifier
1003851692
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036 056024 Issued in IL
Practice address
2S661 Angeline CT
Warrenville, IL 60555-1301
Phone
(630) 341-1246
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036 056024 IL Primary

Addresses

Primary practice location

2S661 Angeline CT
Warrenville, IL 60555-1301

Mailing address

2S661 Angeline CT
Warrenville, IL 60555-1301
Phone (630) 341-1246

Other practice location 1

2325 Dean St Ste 600
St Charles, IL 60175-4822
Phone (847) 695-6262

Other practice location 2

3535 E New York St Ste 115
Aurora, IL 60504-4466
Phone (630) 499-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090601000411 IL Practitioner - Family PracticePractitioner - Internal Medicine 1153470703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Creighton University School of Medicine, 1976
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2 S661 Angeline CT
Warrenville, IL 60555-1300

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Edward Hospital Hospital, Naperville, IL, CCN 140231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036 056024ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Urgent Care, Inc. CurrentSince Jul 1, 2018 Accepting new patients

Locations

3535 E New York St
Ste 115
Aurora, IL 60504
Phone (630) 499-1900

Interoperability endpoints

  • Direct secure messaging: pauline.harding.1@25606.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1003851692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2S661 ANGELINE CT",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605551301",
            "telephone_number": "630-341-1246",
            "fax_number": "630-653-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2S661 ANGELINE CT",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605551301",
            "telephone_number": "630-341-1246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2325 Dean St Ste 600",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601754822",
            "country_code": "US",
            "telephone_number": "847-695-6262",
            "fax_number": "847-695-6348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 E New York St Ste 115",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605044466",
            "country_code": "US",
            "telephone_number": "630-499-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDING",
        "first_name": "PAULINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036 056024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

Verify at the official NPI Registry.