Individual provider Active NPI

Daniel L Cardwell, PA-C

  • Physician Assistant
  • Palos Heights, IL
National Provider Identifier
1336425560
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085004797 Issued in IL
Practice address
12251 S 80TH Ave Ste 1520
Palos Heights, IL 60463-1290
Phone
(708) 923-4200
Fax
(708) 923-4201
NPI assigned
Nov 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085004797 IL Primary
Surgical Physician Assistant 363AS0400X 0110004653 VA
Surgical Physician Assistant 363AS0400X 146680 MT

Addresses

Primary practice location

12251 S 80TH Ave Ste 1520
Palos Heights, IL 60463-1290

Mailing address

12251 S 80TH Ave Ste 1520
Palos Heights, IL 60463-1290
Phone (708) 923-4200

Other practice location 1

1300 28th St S Fl 2
Great Falls, MT 59405-5296
Phone (406) 455-4320

Other identifiers 1

IdentifierTypeStateIssuer
1336425560MedicaidVA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dcardwell280089@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IL, MT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200619002067 OH Practitioner - Physician Assistant 1658546882 Reassigns benefits to 1 organization
I20240202003593 IL Practitioner - Physician Assistant 1658546882
I20241113002405 MT Practitioner - Physician Assistant 1658546882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians

Practice addresses (Care Compare)

1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-5000

1300 28TH St S
Great Falls, MT 59405-5296
Phone (406) 455-5000

Hospital & facility affiliations

  • Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
146680MTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Jan 18, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jan 18, 2024 Accepting new patients
Benefis Hospitals, Inc. CurrentSince Nov 15, 2024 Accepting new patients
Benefis Hospitals Inc CurrentSince Nov 15, 2024 Accepting new patients
Premier Health Specialists Inc Physician Assistant CurrentSince Jun 1, 2020 Accepting new patients
Premier Health Specialists Inc CurrentSince Jun 1, 2020 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Saint Joseph Regional Medical Center, Inc. Physician Assistant Past Accepting new patients
Saint Joseph Regional Medical Center, Inc. Nurse Practitioner Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

12251 S 80th Ave
Ste 1520
Palos Heights, IL 60463
Phone (708) 923-3936

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1300 28th St S
Fl 2
Great Falls, MT 59405
Phone (406) 455-4320

30 E Apple St
Ste 1480
Dayton, OH 45409
Phone (937) 208-3220

3170 Kettering Blvd
Bldg 3
Moraine, OH 45439

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Interoperability endpoints

  • Direct secure messaging: dcardwell54171@benefishs.direct-ci.com
  • Direct secure messaging: dcardwell585940@hisp.ehr.sutterhealth.org

Organizations & group practices 9

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 5

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": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1336425560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE STE 1520",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631290",
            "telephone_number": "708-923-4200",
            "fax_number": "708-923-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE STE 1520",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631290",
            "telephone_number": "708-923-4200",
            "fax_number": "708-923-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 28th St S Fl 2",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055296",
            "country_code": "US",
            "telephone_number": "406-455-4320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDWELL",
        "first_name": "DANIEL",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-02",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004797",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110004653",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MT",
            "license": "146680",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336425560",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcardwell280089@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30 E Apple St Ste 1480",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454092939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "30 E Apple St Ste 1480",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454092939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.