Individual provider Active NPI

Pamela E Dorne, M.D.

  • Obstetrics & Gynecology Physician
  • Hinsdale, IL
National Provider Identifier
1265512693
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036071844 Issued in IL
Practice address
201 E Ogden Ave Ste 212
Hinsdale, IL 60521-3680
Phone
(708) 383-3883
Fax
(888) 596-8376
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036071844 IL Primary

Addresses

Primary practice location

201 E Ogden Ave Ste 212
Hinsdale, IL 60521-3680

Mailing address

201 E Ogden Ave Ste 212
Hinsdale, IL 60521-3680
Phone (708) 383-3883

Other practice location 1

1 Erie Ct Ste 4010
Oak Park, IL 60302-2510
Phone (708) 383-3883

Other identifiers 4

IdentifierTypeStateIssuer
036071844MedicaidIL
02215723OtherBCBS OF IL
K47450OtherMEDICARE PTAN
K47449OtherMEDICARE PTAN

Other names 1

  • Dr. Pamela E Ayres Former name

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
I20080102000105 IL Practitioner - Obstetrics/Gynecology 5597845677 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036071844ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc CurrentSince Jun 2, 2020 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Health Partners, Inc Obstetrics & Gynecology CurrentSince Jun 2, 2020 Accepting new patients
Obhg Illinois SC Obstetrics & Gynecology CurrentSince Feb 17, 2019 Accepting new patients

Locations

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

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1265512693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E OGDEN AVE STE 212",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213680",
            "telephone_number": "708-383-3883",
            "fax_number": "888-596-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E OGDEN AVE STE 212",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213680",
            "telephone_number": "708-383-3883",
            "fax_number": "888-596-8376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Erie Ct Ste 4010",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603022510",
            "country_code": "US",
            "telephone_number": "708-383-3883",
            "fax_number": "888-596-8376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORNE",
        "first_name": "PAMELA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036071844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071844",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "02215723",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K47450",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K47449",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "AYRES",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.