Individual provider Active NPI

Dan Sears, PA-C

  • Physician Assistant
  • Naperville, IL
National Provider Identifier
1386989564
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085004514 Issued in IL
Practice address
120 Spalding Dr Ste 308
Naperville, IL 60540-6521
Phone
(630) 527-7730
NPI assigned
Nov 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085004514 IL Primary

Addresses

Primary practice location

120 Spalding Dr Ste 308
Naperville, IL 60540-6521

Mailing address

120 Spalding Dr Ste 101
Naperville, IL 60540-6599

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dsears16946@direct.edward.org Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130211000306 IL Practitioner - Physician Assistant 0547414054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000

6050 Caton Farm Rd
Plainfield, IL 60586-8218
Phone (815) 609-5501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures CurrentSince Jan 7, 2013 Accepting new patients

Locations

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

120 Spalding Dr
Ste 308
Naperville, IL 60540
Phone (630) 527-7730

24600 W 127th St
Ste B100
Plainfield, IL 60585
Phone (815) 731-9000

27555 Diehl Rd
#B
Warrenville, IL 60555
Phone (630) 646-3950

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1386989564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SPALDING DR STE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SPALDING DR STE 308",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406521",
            "telephone_number": "630-527-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARS",
        "first_name": "DAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-29",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsears16946@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 Spalding Dr Ste 308",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.