Patrick Michael Differding, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036.158568 Issued in IL

Practice address

1300 N Highland Ave Ste 1
Aurora, IL 60506-1481

Phone

(630) 897-5104

Fax

(630) 897-5089

NPI assigned

Jun 15, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Ophthalmology

Education

University of Chicago, Pritzker School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aurora Eye Clinic LTDGroup PAC ID 2769384163, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presence Mercy Medical Center Hospital, Aurora, IL, CCN 140174

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pdifferding21666@direct.vumc.org
• Direct secure messaging: patrick.differdingmd.p1@direct.auroraeyeclinic.nextgenshare.com

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.

• Aurora Eye Clinic LTD

  • Ophthalmology Physician
  • Aurora, IL
  • NPI 1992776322
  Medicare reassignment Care Compare group NPD
• Premier Eye Care & Surgery LTD

  • Ophthalmology Physician
  • Buffalo Grove, IL
  • NPI 1306905005
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Medical Center - Aurora LLC

  • General Acute Care Hospital
  • Aurora, IL
  • NPI 1598503922
  Care Compare affiliation

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1356871016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20508 HELLENIC DR",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611424",
            "telephone_number": "708-209-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N HIGHLAND AVE STE 1",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061481",
            "telephone_number": "630-897-5104",
            "fax_number": "630-897-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFFERDING",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.158568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustavo Diaz
• Joanna Diaz
• Karina Diaz
• David Dickerson
• Mayra Diego
• Terry Digate, N.P.
• Allison Marie Dille
• Charlotte Ann Dillon, PH.D.
• Charisse Dimaria, APN
• Dinesh J Patel DDS PC

• Ophthalmology Physician in Aurora, IL
• Providers in Aurora, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.