NPIMap

Individual provider Active NPI

Maytee Boonyapredee, MD

  • Nephrology Physician
  • Hinsdale, IL
National Provider Identifier
1235314501
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036131976 Issued in IL
Practice address
911 N Elm St Ste 102
Hinsdale, IL 60521-3640
Phone
(630) 495-9356
NPI assigned
Jan 7, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 12

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

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Indiana University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
24 On Physicians PC 274 clinicians
Nephrology Associates of Northern Illinois LTD 117 clinicians

Practice addresses (Care Compare)

1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 431-5380

2055 W Army Trail Rd
Addison, IL 60101-1478
Phone (773) 284-9247

800 Biesterfield Rd
Elk Grove Village, IL 60007-3372
Phone (847) 981-3680

911 N Elm St
Suite 102
Hinsdale, IL 60521-3640
Phone (630) 495-9356

Hospital & facility affiliations

  • FKC - Woodridge Dialysis facility, Woodridge, IL, CCN 142845
  • Dialyze Direct Il - Glen Ellyn Dialysis facility, Glen Ellyn, IL, CCN 142752
  • FMC - Lemont Dialysis facility, Lemont, IL, CCN 142798
  • Dialysis Direct - Oak Park Dialysis facility, Oak Park, IL, CCN 142676
  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
  • Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065
  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304
  • Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

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
I20140319000153 IL Practitioner - Internal MedicinePractitioner - Nephrology 6406912492 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0067795MDMDInternal Medicine Physician
036131976ILMDNephrology Physician
036-131976ILMDHospitalist Physician
P19551MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Nani Vascular North ASC LLC Nephrology CurrentSince Jun 1, 2025 Accepting new patients
Pekin Prohealth Inc Internal Medicine CurrentSince Sep 23, 2017 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Dec 15, 2015 Accepting new patients
2HT Kidney Care LTD Nephrology CurrentSince Mar 1, 2021 Accepting new patients
Nani Elk Grove Nephrology CurrentSince Mar 1, 2022 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Dec 15, 2015 Accepting new patients
Nephrology Associates of Northern Illinois, LTD. Nephrology CurrentSince Mar 1, 2022 Accepting new patients
Nephrology Associates of Northern Illinois, LTD. Nephrology CurrentSince Mar 1, 2022 Accepting new patients
Adventist Health Partners, Inc Past Accepting new patients
Linda Roberts & Associates Inc Past Accepting new patients

Locations

2055 W Army Trail Rd
Ste 110N
Addison, IL 60101
Phone (773) 284-9247

2055 W Army Trail Rd
Ste 110E
Addison, IL 60101
Phone (773) 284-9247

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

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

20 Heritage Dr
Bourbonnais, IL 60914
Phone (815) 937-4880

3825 Highland Ave
Ste 4C
Downers Grove, IL 60515
Phone (630) 968-1595

800 Biesterfield Rd
Ste 104
Elk Grove Village, IL 60007
Phone (847) 593-9182

901 Biesterfield Rd
Ste 310
Elk Grove Vlg, IL 60007
Phone (847) 437-7070

911 N Elm St
Ste 102
Hinsdale, IL 60521
Phone (630) 495-9356

911 N Elm St
Ste S102
Hinsdale, IL 60521

120 Spalding Dr
Ste 410
Naperville, IL 60540
Phone (630) 369-0780

120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIJBBD
  • Direct secure messaging: mboonyapredee49711@direct.acumenmd.com

Specialties & licenses 5

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0067795 MD
Internal Medicine Physician 207R00000X 036-131976 IL
Hospitalist Physician 208M00000X 036-131976 IL
Student in an Organized Health Care Education/Training Program 390200000X P19551 MI
Nephrology Physician 207RN0300X 036131976 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

911 N Elm St Ste 102
Hinsdale, IL 60521-3640

Mailing address

120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 573-5000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 5, 2022.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1235314501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-573-5000",
            "fax_number": "630-491-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N ELM ST STE 102",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213640",
            "telephone_number": "630-495-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONYAPREDEE",
        "first_name": "MAYTEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0067795",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-131976",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036-131976",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "P19551",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036131976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.