John Davine, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-099244 Issued in IL

Practice address

2020 Ogden Ave Ste 400
Aurora, IL 60504-5898

Phone

(630) 692-5563

Fax

(630) 692-5564

NPI assigned

Sep 23, 2005

Last updated

Apr 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Temple University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Rush-Copley Medical Group NFPGroup PAC ID 7618864877, 101 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Absolute Home Wellness Home health agency, Saint Charles, IL, CCN 148257
• DMJ Home Health Services, Inc Home health agency, Aurora, IL, CCN 147997
• Resilience Home Health, LLC Home health agency, Aurora, IL, CCN 147998
• Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029
• Rush University Medical Center Hospital, Chicago, IL, CCN 140119

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdavine2638@direct.rush.rush-health.com

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.

• Rush University Medical Group

  dba Rush University Internists

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Rush-Copley Medical Group, NFP

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1093075848
  Medicare reassignment Care Compare group NPD
• Rush Medical Group

  dba Rush Orthopaedics

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1467312850
  Medicare reassignment
• Rush-Copley Medical Group

  • Gastroenterology Physician
  • Aurora, IL
  • NPI 1477831220
  NPD
• Rush Copley Medical Group

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1194836247
  NPD (past)

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

• Angel Health Care LLC

  dba Absolute Home Wellness

  • Home Health Agency
  • St Charles, IL
  • NPI 1447569488
  Care Compare affiliation
• Copley Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Aurora, IL
  • NPI 1295882561
  Care Compare affiliation
• DMJ Home Health Services, Inc

  • Home Health Agency
  • Aurora, IL
  • NPI 1154532315
  Care Compare affiliation
• Resilience Home Health, LLC

  dba PurposeCare of Illinois - Aurora

  • Home Health Agency
  • Aurora, IL
  • NPI 1912107517
  Care Compare affiliation
• Rush University Medical Center

  • Children's Hospital
  • Chicago, IL
  • NPI 1801908728
  Care Compare affiliation
• Rush University Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1932213600
  Care Compare affiliation

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1245226497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE STE 400",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045898",
            "telephone_number": "630-692-5563",
            "fax_number": "630-692-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE STE 400",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045898",
            "telephone_number": "630-692-5563",
            "fax_number": "630-692-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVINE",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-099244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamlesh K Dave, PHARMACIST
• Shilpa S. Dave, DO
• David Alan Pesavento, DDS, LTD
• David G Lifka DC PC
• David V Wolfe DDS LTD
• Andrea Davis
• Connor Davis, DC
• David H Davis, MD
• Donna Marie Davis, LSW
• Kristin D Davis, M.D.

• Family Medicine Physician in Aurora, IL
• Providers in Aurora, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.

Verify at the official NPI Registry.