Individual provider Active NPI

David D Morimoto, M.D.

  • Ophthalmology Physician
  • Joliet, IL
National Provider Identifier
1356305643
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036076648 Issued in IL
Practice address
219 N Hammes Ave
Joliet, IL 60435-8145
Phone
(815) 741-3220
Fax
(815) 741-3814
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036076648 IL Primary
Specialist 174400000X 036-076648 IL

Addresses

Primary practice location

219 N Hammes Ave
Joliet, IL 60435-8145

Mailing address

219 N Hammes Ave
Joliet, IL 60435-8145
Phone (815) 741-3220

Other practice location 1

1009 S Wood St
Chicago, IL 60612-3747
Phone (312) 996-3937

Other identifiers 2

IdentifierTypeStateIssuer
036076648MedicaidIL
9900200OtherILBCBS

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
I20100512000724 IL Practitioner - Ophthalmology 2264560234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Board of Trustees of the University of IllinoisGroup PAC ID 3072422716, 1,134 clinicians
Associated Ophthalmologists S CGroup PAC ID 8022146091, 2 clinicians

Practice addresses (Care Compare)

1009 S Wood St
Chicago, IL 60612-3747
Phone (312) 355-4300

219 N Hammes Ave
Joliet, IL 60435-8114
Phone (815) 741-3220

Hospital & facility affiliations

  • University of Illinois Hospital and Clinics Hospital, Chicago, IL, CCN 140150
  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007

Merit-based Incentive Payment System (MIPS)

Final score
89.54 of 100Reported as group
Quality
91.08
Improvement activities
40
Cost
77.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-076648ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Ophthalmology CurrentSince Oct 16, 2025 Accepting new patients
Associated Ophthalmologists S C Ophthalmology CurrentSince Jan 1, 1987 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Oct 16, 2025 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Board of Trustees of the University of Illinois Past Accepting new patients

Locations

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

219 N Hammes Ave
Joliet, IL 60435
Phone (815) 741-0095

Interoperability endpoints

  • Direct secure messaging: dmorimoto234863@uihealth.direct-ci.com

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.

Hospital & facility affiliations 2

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1356305643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 N HAMMES AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358145",
            "telephone_number": "815-741-3220",
            "fax_number": "815-741-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N HAMMES AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358145",
            "telephone_number": "815-741-3220",
            "fax_number": "815-741-3814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 S Wood St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123747",
            "country_code": "US",
            "telephone_number": "312-996-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORIMOTO",
        "first_name": "DAVID",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036076648",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-076648",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036076648",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9900200",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.