Active NPI
Sean David McWilliams, MD
- Phlebology Physician
- Wheaton, IL
National Provider Identifier
1356323398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- 036096961
- Practice address
- 180 Danada SQ W
Wheaton, IL 60189-2041 - Phone
- (630) 474-2600
- Fax
- (630) 474-2601
- NPI assigned
- Nov 16, 2005
- Last updated
- Apr 25, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036096961 | IL | |
| Vascular Surgery Physician | 2086S0129X | 036096961 | IL | |
| Vascular Surgery Physician | 2086S0129X | 01062181A | IN | |
| Phlebology Physician | 202K00000X | 036096961 | IL | Primary |
Addresses
Primary practice location
180 Danada SQ W
Wheaton, IL 60189-2041
Mailing address
180 Danada SQ W
Wheaton, IL 60189-2041
Phone (630) 474-2600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00419402 | Other | IN | MEDICARE RAILROAD INDIVIDUAL PTAN |
| 01622308 | Other | IL | BLUE CROSS |
| P00426506 | Other | IL | MEDICARE RAILROAD INDIVIDUAL PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
180 Danada SQ W
Wheaton, IL 60189-2041
Phone (630) 474-2600
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 621 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01062181A | IN | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danada Vein Care SC | Phlebology | Current | Accepting new patients |
| Metrodocs, S.C. | Family Medicine | Past | Accepting new patients |
| Connecticut Phlebology PC | Phlebology | Past | Accepting new patients |
| Texas Interventional and Vascular Specialists PA | Vascular Surgery | Past | Accepting new patients |
| Vein Clinics of Chicago LLC | Vascular Surgery | Past | Accepting new patients |
Locations
180 Danada Sq W
Wheaton, IL 60189
Phone (630) 474-2600
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Mount Prospect, IL
- NPI 1760607634
-
- Vascular Surgery Physician
- Chicago, IL
- NPI 1386904621
-
dba Vein Clinics of America
- Surgery Physician
- Fairfield, CT
- NPI 1295053502
Phlebology
-
- Vascular Surgery Physician
- Houston, TX
- NPI 1962849034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1356323398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 DANADA SQ W",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892041",
"telephone_number": "630-474-2600",
"fax_number": "630-474-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 DANADA SQ W",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892041",
"telephone_number": "630-474-2600",
"fax_number": "630-474-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCWILLIAMS",
"first_name": "SEAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036096961",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": "036096961",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IN",
"license": "01062181A",
"primary": false
},
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "IL",
"license": "036096961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD INDIVIDUAL PTAN",
"identifier": "P00419402",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "01622308",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD INDIVIDUAL PTAN",
"identifier": "P00426506",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.