Active NPI
Daniel L Cardwell, PA-C
- Physician Assistant
- Palos Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085004797
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336425560 | Medicaid | VA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
- Palos Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146680 | MT | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Benefis Hospitals, Inc. | Current | Accepting new patients | |
| Benefis Hospitals Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Physician Assistant | Current | Accepting new patients |
| Premier Health Specialists Inc | Current | 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
- dcardwell54171@benefishs.direct-ci.com
- 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.
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
- Internal Medicine Physician
- Moraine, OH
- NPI 1194958223
Physician Assistant
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
-
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
Physician Assistant
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1467406074
Nurse Practitioner
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.