Individual provider Active NPI

Madeline Simon

  • Physician Assistant
  • Naperville, IL
National Provider Identifier
1467010884
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.007270 Issued in IL
Practice address
1720 Frost LN
Naperville, IL 60564-5165
Phone
(630) 577-7739
NPI assigned
May 31, 2019
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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 085.007270 IL Primary

Addresses

Primary practice location

1720 Frost LN
Naperville, IL 60564-5165

Mailing address

1 Westbrook Corporate Ctr
Ste 240
Westchester, IL 60154-5745
Phone (708) 236-2673

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
I20190930001058 IL Practitioner - Physician Assistant 1759611007 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1034 Warren Ave
Downers Grove, IL 60515-3601
Phone (630) 718-6080

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9900

2101 Waukegan Rd
Bannockburn, IL 60015-1836

4700 Gilbert Ave
Suite 51
Western Springs, IL 60558-1664
Phone (708) 387-1750

550 W Ogden Ave
Hinsdale, IL 60521-3186
Phone (630) 323-6116

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopaedics at Rush LLC CurrentSince Sep 14, 2019 Accepting new patients
Illinois Bone and Joint Institute LLC CurrentSince Oct 1, 2020 Accepting new patients
Hinsdale Orthopaedic Associates, SC CurrentSince Jul 25, 2020 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

1611 W Harrison St
#400
Chicago, IL 60612
Phone (312) 243-4244

5057 Paysphere Cir
Chicago, IL 60674

1034 Warren Ave
Downers Grove, IL 60515
Phone (630) 852-7325

550 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 323-6116

951 Essington Rd
Joliet, IL 60435
Phone (815) 744-4551

2940 Rollingridge Rd
Ste 102
Naperville, IL 60564
Phone (630) 579-6300

1 Westbrook Corporate Ctr
Ste 240
Westchester, IL 60154

1010 Executive Dr
Ste 250
Westmont, IL 60559
Phone (630) 655-8785

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Organizations & group practices 6

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1467010884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WESTBROOK CORPORATE CTR",
            "address_2": "STE 240",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545745",
            "telephone_number": "708-236-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 FROST LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645165",
            "telephone_number": "630-577-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MADELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.007270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.