Individual provider Active NPI

Brian J Lenahan, D.O.

  • Family Medicine Physician
  • Naperville, IL
National Provider Identifier
1053462788
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036114526 Issued in IL
Practice address
4003 S Route 59
Naperville, IL 60564-5802
Phone
(888) 693-6437
NPI assigned
Jan 16, 2007
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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 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

IdentifierTypeStateIssuer
P00412092OtherRAILROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060324000194 IL Practitioner - Family Practice 6204844780 Reassigns benefits to 4 organizations

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 100Reported as apm
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

LicenseStateTypeSpecialty
036114526ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Hospital Association CurrentSince Sep 1, 2005 Accepting new patients
Central Dupage Physician Group Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 1, 2024 Accepting new patients
Winfield Pathology Consultants, S.C. Current Accepting new patients
Central Dupage Hospital Association CurrentSince Sep 1, 2005 Accepting new patients
Dupage Medical Group LTD CurrentSince Apr 1, 2019 Accepting new patients
Central Dupage Physician Group CurrentSince Mar 1, 2020 Accepting new patients
Dupage Medical Group LTD CurrentSince Apr 1, 2019 Accepting new patients
Addison Family Medicine LTD. Family Medicine PastSince Aug 25, 2025 Accepting new patients
Du Page Medical Group LTD PastSince Jun 21, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.