NPIMap

Organization Active NPI

Hinsdale Orthopaedic Associates SC

  • Orthopaedic Surgery Physician
  • Elmhurst, IL
National Provider Identifier
1508164898
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
042620352 Issued in IL
Legal business name
HINSDALE ORTHOPAEDIC ASSOCIATES SC
Practice address
1200 S York Rd
Suite 4110
Elmhurst, IL 60126-5626
Phone
(630) 510-7666
Fax
(630) 323-5309
NPI assigned
Mar 10, 2011
Last updated
Oct 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Authorized official

Name
Michael C Durkin
Title
MD
Phone
(630) 794-8671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 042000346 IL
Orthopaedic Surgery Physician 207X00000X 042620352 IL Primary

Addresses

Primary practice location

1200 S York Rd
Suite 4110
Elmhurst, IL 60126-5626

Mailing address

1200 S York Rd
Suite 4110
Elmhurst, IL 60126-5626
Phone (630) 510-7666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423001010 IL Part B Supplier - Clinic/Group Practice 3476549452 Receives reassigned benefits from 86 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hinsdale, IL; Westmont, IL; Western Springs, IL; New Lenox, IL; Naperville, IL; Joliet, IL; Elmhurst, IL

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2080250Hinsdale Orthopaedic Associates1200 S York Rd, Ste 4110, Elmhurst, IL 60126Certificate of waiverJul 1, 2026

National Provider Directory

National Provider Directory

Locations

4700 Gilbert Ave
Ste 52
Western Springs, IL 60558
Phone (708) 387-1737

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1508164898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S YORK RD",
            "address_2": "SUITE 4110",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265626",
            "telephone_number": "630-510-7666",
            "fax_number": "630-323-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S YORK RD",
            "address_2": "SUITE 4110",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265626",
            "telephone_number": "630-510-7666",
            "fax_number": "630-323-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINSDALE ORTHOPAEDIC ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "DURKIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "630-794-8671"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "042000346",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "042620352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.