Active NPI
David L McFadden, M.D.
- Nephrology Physician
- Joliet, IL
National Provider Identifier
1033270533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 042008047
- Practice address
- 330 Madison St Ste 303
Joliet, IL 60435-6576 - Phone
- (815) 744-1770
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 042008047 | IL | Primary |
Addresses
Primary practice location
330 Madison St Ste 303
Joliet, IL 60435-6576
Mailing address
10660 W 143Rd St Ste B
Orland Park, IL 60462-1989
Phone (708) 349-0055
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9908151 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036087527 | Medicaid | IL | |
| 390004585 | Other | IL | PALMETTO RR MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Southern Illinois University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1499 Lakewood Dr
Suite B
Morris, IL 60450-1790
Phone (815) 942-5813
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042008047 | IL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Germane Nephrology Associates | Past | Accepting new patients | |
| Southwest Surgical Associates | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GBDBCD
- https://fhir4.healow.com/fhir/r4/GADCCA/Endpoint/GADCCA
Organizations & group practices 4
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.
-
- Nephrology Physician
- Hazel Crest, IL
- NPI 1386808871
-
- Specialist
- Morris, IL
- NPI 1215268081
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Surgery Physician
- Joliet, IL
- NPI 1306921754
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Morris, IL
- NPI 1386018885
Dialysis facility
-
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211068800000",
"number": "1033270533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10660 W 143RD ST STE B",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604621989",
"telephone_number": "708-349-0055",
"fax_number": "708-460-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MADISON ST STE 303",
"city": "JOLIET",
"state": "IL",
"postal_code": "604356576",
"telephone_number": "815-744-1770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFADDEN",
"first_name": "DAVID",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2008-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "042008047",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "9908151",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036087527",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO RR MEDICARE",
"identifier": "390004585",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.