NPIMap

Individual provider Active NPI

Catherine Ann McDoniel, D.O.

  • Family Medicine Physician
  • Orland Park, IL
National Provider Identifier
1245240662
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036123113 Issued in IL
Practice address
15300 West Ave
Ste 22
Orland Park, IL 60462-4600
Phone
(708) 226-2623
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A8834 CA
Family Medicine Physician 207Q00000X 036123113 IL Primary

Addresses

Primary practice location

15300 West Ave
Ste 22
Orland Park, IL 60462-4600

Mailing address

1890 Silver Cross Blvd
Ste 570
New Lenox, IL 60451-9606
Phone (708) 226-2623

Other identifiers 1

IdentifierTypeStateIssuer
00AX88340MedicaidCA

Other names 1

  • Dr. Catherine Ann Taylor Former name

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
I20091119000109 IL Practitioner - Family Practice 6507872702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Candr Medical Group SCGroup PAC ID 0143387431, 9 clinicians

Practice addresses (Care Compare)

1890 Silver Cross Blvd
Suite 570
New Lenox, IL 60451-9606
Phone (815) 463-3700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
C&R Medical Group SC Family Medicine CurrentSince Aug 20, 2018 Accepting new patients
Loyola University Medical Center PastSince Jul 1, 2016 Accepting new patients

Locations

1890 Silver Cross Blvd
Ste 570
New Lenox, IL 60451
Phone (815) 463-3700

Interoperability endpoints

  • Direct secure messaging: catherine.mcdoniel@crg.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1245240662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "STE 570",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519606",
            "telephone_number": "708-226-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE",
            "address_2": "STE 22",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624600",
            "telephone_number": "708-226-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONIEL",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8834",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036123113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX88340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "TAYLOR",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.