Individual provider Active NPI

Donald R Taylor, DO

  • Maternal & Fetal Medicine Physician
  • Naperville, IL
National Provider Identifier
1457394520
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
036094817 Issued in IL
Practice address
100 Spalding Dr
Building One, Suite 112
Naperville, IL 60540-6550
Phone
(630) 527-3278
Fax
(630) 527-7459
NPI assigned
Jun 14, 2006
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 036094817 IL Primary

Addresses

Primary practice location

100 Spalding Dr
Building One, Suite 112
Naperville, IL 60540-6550

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other practice location 1

430 Pennsylvania Ave Ste 340
Glen Ellyn, IL 60137-4464
Phone (630) 545-3612

Other identifiers 1

IdentifierTypeStateIssuer
036094817MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dtaylor21703@direct.edward.org
Direct Messaging Address donald.taylor@dulyhealthandcare.direct-ci.com

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
I20040327000167 IL Practitioner - Obstetrics/Gynecology 3779475454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oklahoma State University College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036094817ILMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Jul 14, 2011 Accepting new patients
Dupage Medical Group LTD CurrentSince Jun 1, 2013 Accepting new patients
Dupage Medical Group LTD CurrentSince Jun 1, 2013 Accepting new patients
Suburban Maternal Fetal Medicine Maternal & Fetal Medicine Past Accepting new patients
Rush University Medical Center PastSince Jun 1, 2022 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1200 S York St
#1120
Elmhurst, IL 60126

430 Pennsylvania Ave
Ste 340
Glen Ellyn, IL 60137
Phone (630) 545-3612

100 Spalding Dr
Ste 112
Naperville, IL 60540
Phone (630) 527-3278

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

2300 N Rockton Ave
Rockford, IL 61103

Interoperability endpoints

  • Direct secure messaging: donald.taylor@dulyhealthandcare.direct-ci.com
  • Direct secure messaging: dtaylor21703@direct.edward.org
  • Direct secure messaging: dtaylor21703@dulyhealthandcare.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1457394520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPALDING DR",
            "address_2": "BUILDING ONE, SUITE 112",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406550",
            "telephone_number": "630-527-3278",
            "fax_number": "630-527-7459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Pennsylvania Ave Ste 340",
            "address_purpose": "LOCATION",
            "city": "Glen Ellyn",
            "state": "IL",
            "postal_code": "601374464",
            "country_code": "US",
            "telephone_number": "630-545-3612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DONALD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IL",
            "license": "036094817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094817",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dtaylor21703@direct.edward.org",
            "affiliation": "N",
            "address_1": "100 Spalding Dr",
            "address_2": "Building one, Suite 112",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donald.taylor@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "430 Pennsylvania Ave Ste 340",
            "city": "Glen Ellyn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601374464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.