Active NPI
James R O'Donnell, M.D.
- Surgery Physician
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036.070374
- Practice address
- 10745 165TH St
Orland Park, IL 60467-8713 - Phone
- (708) 364-5700
- Fax
- (708) 745-3120
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036.070374 | IL | Primary |
Addresses
Primary practice location
10745 165TH St
Orland Park, IL 60467-8713
Mailing address
10745 165TH St
Orland Park, IL 60467-8713
Phone (708) 364-5700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01615715 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036070374 | Medicaid | IL |
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
- General Surgery
- Education
- Northwestern University Feinberg Medical School, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Phone (708) 684-5340
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
9550 W 167TH St
Orland Park, IL 60467-5561
Hospital & facility affiliations
- Advocate Trinity Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.070374 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Surgical Consultants, LTD. | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
2545 S Ml King Dr
Chicago, IL 60616
Phone (312) 842-7117
3800 W 203rd St
Ste 202
Olympia Fields, IL 60461
Phone (708) 679-2010
10745 165th St
Orland Park, IL 60467
Phone (708) 364-5700
9550 W 167th St
Lowr
Orland Park, IL 60467
Phone (708) 478-3960
Interoperability endpoints
- jodonnell206145@direct.myadvocateaurora.org
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Specialist
- Palos Heights, IL
- NPI 1124177324
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hazel Crest, IL
- NPI 1467560128
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1558479212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1043369275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10745 165TH ST",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604678713",
"telephone_number": "708-364-5700",
"fax_number": "708-745-3120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10745 165TH ST",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604678713",
"telephone_number": "708-364-5700",
"fax_number": "708-745-3120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "JAMES",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036.070374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01615715",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036070374",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.