Individual provider Active NPI

Jean Ann Howard, DO

  • Family Medicine Physician
  • Hinsdale, IL
National Provider Identifier
1053547398
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036128687 Issued in IL
Practice address
908 N Elm St
Ste 207
Hinsdale, IL 60521-3635
Phone
(630) 323-1558
Fax
(630) 323-2930
NPI assigned
Jun 1, 2009
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 125055974 IL
Family Medicine Physician 207Q00000X 036128687 IL Primary

Addresses

Primary practice location

908 N Elm St
Ste 207
Hinsdale, IL 60521-3635

Mailing address

908 N Elm St
Ste 207
Hinsdale, IL 60521-3635
Phone (630) 323-1558

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jean.howard.1@380.direct.athenahealth.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
I20121030000270 IL Practitioner - Family Practice 7315197241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians

Practice addresses (Care Compare)

396 Remington Blvd
Bolingbrook, IL 60440-4311

425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036128687ILMDFamily Medicine Physician
125055974ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc Family Medicine CurrentSince Sep 1, 2012 Accepting new patients
Adventist Health Partners, Inc Family Medicine CurrentSince Sep 1, 2012 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Health Partners, Inc Past Accepting new patients

Locations

1000 Remington Blvd
Ste 200
Bolingbrook, IL 60440
Phone (630) 312-7755

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

333 W Chestnut St
Ste 105
Hinsdale, IL 60521
Phone (630) 789-0250

908 N Elm St
Ste 202
Hinsdale, IL 60521
Phone (630) 856-8640

908 N Elm St
Ste 207
Hinsdale, IL 60521
Phone (312) 323-1558

Interoperability endpoints

  • Direct secure messaging: jean.howard.1@380.direct.athenahealth.com
  • Direct secure messaging: jhoward1240365@adventhealth.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1053547398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ELM ST",
            "address_2": "STE 207",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213635",
            "telephone_number": "630-323-1558",
            "fax_number": "630-323-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST",
            "address_2": "STE 207",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213635",
            "telephone_number": "630-323-1558",
            "fax_number": "630-323-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "JEAN",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125055974",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036128687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jean.howard.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "908 N Elm St",
            "address_2": "STE 207",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605213635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.