NPIMap

Individual provider Active NPI

Donald Pearson Reese, M.D.

  • Family Medicine Physician
  • Paxton, IL
National Provider Identifier
1053632406
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036135513 Issued in IL
Practice address
227 N Market St
Paxton, IL 60957-1123
Phone
(217) 379-4864
NPI assigned
Jun 21, 2010
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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
Family Medicine Physician 207Q00000X 036135513 IL Primary

Addresses

Primary practice location

227 N Market St
Paxton, IL 60957-1123

Mailing address

1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 379-4864

Other practice location 1

5425 W Lake St
Chicago, IL 60644-2342
Phone (773) 378-3347

Other identifiers 1

IdentifierTypeStateIssuer
OTH000OtherILUPIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address donald.reese.p5@direct.gapho.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141110000849 IL Practitioner - Family Practice 6709019615 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

227 N Market St
Paxton, IL 60957-1123
Phone (217) 379-4864

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Community Hospital Association Family Medicine CurrentSince Aug 3, 2015 Accepting new patients
Gibson Community Hospital Association Current Accepting new patients
PCC Community Wellness Center CurrentSince Jul 18, 2014 Accepting new patients
Gibson Community Hospital Association CurrentSince Aug 3, 2015 Accepting new patients
Gibson Community Hospital Association Current Accepting new patients
PCC Community Wellness Center CurrentSince Jul 18, 2014 Accepting new patients
Gibson Community Hospital Association Family Medicine Past Accepting new patients

Locations

5425 W Lake St
Chicago, IL 60644
Phone (773) 378-3347

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

7 Doctors Park
Gibson City, IL 60936
Phone (217) 784-5500

8 Doctors Park
Gibson City, IL 60936
Phone (217) 784-4086

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

1001 E Pells St
Paxton, IL 60957
Phone (217) 379-4361

227 N Market St
Paxton, IL 60957
Phone (217) 379-4864

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gibson Area Hospital & Health ServicesGibson City, IL, CCN 141317 Hospital Corporate Director Feb 1, 2021
Gibson Area Hospital & Health ServicesGibson City, IL, CCN 14Z317 Hospital Corporate Director Feb 1, 2021
Gibson Community Hospital AnnexGibson City, IL, CCN 145979 Skilled nursing facility Corporate Director
W-2 Managing Employee		 Feb 21, 2021
Oct 1, 2022
Gibson Area Medical ClinicGibson City, IL, CCN 148546 Rural health clinic Corporate Officer Feb 1, 2021
Family Health Care of Cissna ParkCissna Park, IL, CCN 148593 Rural health clinic Corporate Director Feb 1, 2021
Family Health Care of MahometMahomet, IL, CCN 148600 Rural health clinic Corporate Director Feb 1, 2021
Family Health Care of WatsekaWatseka, IL, CCN 148609 Rural health clinic Corporate Officer Feb 1, 2021

Owned or controlled facilities with NPI records 24

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 24

Organizations & group practices 7

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 31

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1053632406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N MELVIN ST",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609361477",
            "telephone_number": "217-379-4864",
            "fax_number": "773-378-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N MARKET ST",
            "city": "PAXTON",
            "state": "IL",
            "postal_code": "609571123",
            "telephone_number": "217-379-4864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5425 W Lake St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606442342",
            "country_code": "US",
            "telephone_number": "773-378-3347",
            "fax_number": "773-378-4028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "DONALD",
        "middle_name": "PEARSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036135513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "OTH000",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donald.reese.p5@direct.gapho.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "227 N Market St",
            "city": "Paxton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609571123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paxton, IL

Sources for this page

Verify at the official NPI Registry.