NPIMap

Individual provider Active NPI

Jonathan David Meek, M.D.

  • Family Medicine Physician
  • Woodridge, IL
National Provider Identifier
1366416380
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036111930 Issued in IL
Practice address
2363 63Rd St
Woodridge, IL 60517-1369
Phone
(630) 716-7510
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036111930 IL Primary

Addresses

Primary practice location

2363 63Rd St
Woodridge, IL 60517-1369

Mailing address

2363 63Rd St
Woodridge, IL 60517-1369
Phone (630) 716-7510

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jonathan.meek.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000821 IL Practitioner - Family Practice 8325077761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

396 Remington Blvd
Bolingbrook, IL 60440-4311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036111930ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc Family Medicine CurrentSince May 1, 2007 Accepting new patients
Adventist Health Partners, Inc Family Medicine CurrentSince May 1, 2007 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Health Partners,Inc Family Medicine Past Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

911 N Elm St
Ste 301
Hinsdale, IL 60521
Phone (630) 856-8650

911 N Elm St
Hinsdale, IL 60521
Phone (630) 655-0404

2363 63rd St
Woodridge, IL 60517
Phone 22477355880000

Interoperability endpoints

  • Direct secure messaging: jonathan.meek.1@380.direct.athenahealth.com
  • Direct secure messaging: jmeek1240348@adventhealth.direct-ci.com

Organizations & group practices 4

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 9

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1366416380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 63RD ST",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171369",
            "telephone_number": "630-716-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 63RD ST",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171369",
            "telephone_number": "630-716-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEK",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036111930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathan.meek.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2363 63rd St",
            "city": "Woodridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605171369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

Verify at the official NPI Registry.