Individual provider Active NPI

Justin T Mao, MD

  • Clinical Cardiac Electrophysiology Physician
  • Downers Grove, IL
National Provider Identifier
1427052273
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
036-124995 Issued in IL
Practice address
3825 Highland Ave FL Tower24
Downers Grove, IL 60515-1552
Phone
(630) 719-4799
Fax
(630) 963-7420
NPI assigned
Jun 9, 2005
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 219331 MA
Internal Medicine Physician 207R00000X 036-124995 IL
Cardiovascular Disease Physician 207RC0000X 036-124995 IL
Cardiovascular Disease Physician 207RC0000X 225456 MI
Clinical Cardiac Electrophysiology Physician 207RC0001X 036-124995 IL Primary

Addresses

Primary practice location

3825 Highland Ave FL Tower24
Downers Grove, IL 60515-1552

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

1340 Charles St Ste 300
Rockford, IL 61104-2200
Phone (815) 490-5888

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jmao208661@direct.myadvocateaurora.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20100922000950 IL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiac SurgeryPractitioner - Cardiovascular Disease (Cardiology) 0042280612 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiac Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1221 N Highland Ave
Aurora, IL 60506-1404
Phone (630) 859-6800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90606CAMDPharmacist
219331MAMDInternal Medicine Physician
036-124995ILMDCardiovascular Disease Physician
225456MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Hospital CurrentSince Jan 1, 2014 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2012 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Apr 1, 2016 Accepting new patients
Naperville Psychiatric Ventures CurrentSince Jun 9, 2019 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Naperville Psychiatric Ventures CurrentSince Jun 9, 2019 Accepting new patients
Edward Hospital Cardiovascular Disease CurrentSince Jan 1, 2014 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Jan 1, 2012 Accepting new patients
Mt Auburn Prof Services Past Accepting new patients
Midwest Heart Specialists, LTD Internal Medicine Past Accepting new patients

Locations

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

1221 N Highland Ave
Aurora, IL 60506
Phone (630) 859-6700

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

3825 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-7800

3825 Highland Ave
#24
Downers Grove, IL 60515
Phone (630) 719-4799

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

2100 S Finley Rd
Lombard, IL 60148
Phone (630) 495-4000

1508 Aurora Ave
Naperville, IL 60540
Phone (630) 585-7100

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

852 S West St
Naperville, IL 60540
Phone (630) 305-5027

1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590

1340 Charles St
Ste 300
Rockford, IL 61104
Phone (779) 696-5888

1 E County Line Rd
Sandwich, IL 60548
Phone (815) 786-2722

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
  • Direct secure messaging: jmao208661@direct.myadvocateaurora.org

Organizations & group practices 11

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.

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1427052273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE FL TOWER24",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151552",
            "telephone_number": "630-719-4799",
            "fax_number": "630-963-7420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Charles St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611042200",
            "country_code": "US",
            "telephone_number": "815-490-5888",
            "fax_number": "815-490-5898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAO",
        "first_name": "JUSTIN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "219331",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-124995",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-124995",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "225456",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036-124995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmao208661@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "3825 Highland Ave Fl Tower24",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3825 Highland Ave Fl Tower24",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.