Active NPI
Brian J Lenahan, D.O.
- Family Medicine Physician
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036114526
- Practice address
- 4003 S Route 59
Naperville, IL 60564-5802 - Phone
- (888) 693-6437
- NPI assigned
- Jan 16, 2007
- Last updated
- Feb 26, 2024
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036114526 | IL | Primary |
Addresses
Primary practice location
4003 S Route 59
Naperville, IL 60564-5802
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-2000
Other practice location 1
885 Roosevelt Rd Ste 100
Glen Ellyn, IL 60137-6141
Phone (630) 384-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00412092 | Other | RAILROAD MEDICARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | blenahan190451@dulyhealthandcare.direct-ci.com | Direct | |
| Direct Messaging Address | blenahan190451@dulyhealthandcare.direct-ci.com |
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
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
885 Roosevelt Rd
Suite 100
Glen Ellyn, IL 60137-6141
Phone (630) 384-6200
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036114526 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Hospital Association | Current | Accepting new patients | |
| Central Dupage Physician Group | Family Medicine | Current | Accepting new patients |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Winfield Pathology Consultants, S.C. | Current | Accepting new patients | |
| Central Dupage Hospital Association | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Addison Family Medicine LTD. | Family Medicine | Past | Accepting new patients |
| Du Page Medical Group LTD | Past | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
145 N Weber Rd
Bolingbrook, IL 60490
Phone (630) 359-8721
149 N Weber Rd
Bolingbrook, IL 60490
Phone (630) 456-7245
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
885 Roosevelt Rd
Ste 100
Glen Ellyn, IL 60137
Phone (630) 384-6200
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
4003 S Route 59
Naperville, IL 60564
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
7 Blanchard Cir
Ste Lla
Wheaton, IL 60189
Phone (630) 462-3661
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
Interoperability endpoints
- blenahan190451@dulyhealthandcare.direct-ci.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
dba DuPage Medical Group
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
dba Northwestern Medicine Regional Medical Group
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Anatomic Pathology Physician
- Winfield, IL
- NPI 1528147071
-
- Family Medicine Physician
- Chicago, IL
- NPI 1689551467
-
- Durable Medical Equipment & Medical Supplies
- Naperville, IL
- NPI 1700411030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1053462788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4003 S ROUTE 59",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605645802",
"telephone_number": "888-693-6437"
}
],
"practiceLocations": [
{
"address_1": "885 Roosevelt Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Glen Ellyn",
"state": "IL",
"postal_code": "601376141",
"country_code": "US",
"telephone_number": "630-384-6200",
"fax_number": "630-384-6229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LENAHAN",
"first_name": "BRIAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036114526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00412092",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "blenahan190451@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "149 N Weber Rd",
"city": "Bolingbrook",
"state": "IL",
"country_code": "US",
"postal_code": "604901504",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "blenahan190451@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "4003 S Route 59",
"city": "Naperville",
"state": "IL",
"country_code": "US",
"postal_code": "605645802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.