Active NPI
Patricia Duda - Tharani, NP
- Adult Health Nurse Practitioner
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 209012704
- Practice address
- 1964 Springbrook Square Dr
Naperville, IL 60564-5949 - Phone
- (630) 871-6699
- Fax
- (630) 416-4331
- NPI assigned
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209012704 | IL | Primary |
Addresses
Primary practice location
1964 Springbrook Square Dr
Naperville, IL 60564-5949
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other names 1
- Patricia Duda
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pduda47168@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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
25 N Winfield Rd
Winfield, IL 60190-1222
30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210
330 Madison St
L14
Joliet, IL 60435-6565
Phone (815) 725-2121
430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Breakthrough Care Center | Past | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
1964 Springbrook Square Dr
Naperville, IL 60564
Phone (630) 871-6699
100 Spalding Dr
Ste 102
Naperville, IL 60540
Phone (630) 355-5860
100 Spalding Dr
Naperville, IL 60540
Phone (630) 357-2900
25 N Winfield Rd
Ste 300
Winfield, IL 60190
Phone (630) 933-8100
Interoperability endpoints
- pduda47168@dulyhealthandcare.direct-ci.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- Health Service Clinic/Center
- Naperville, IL
- NPI 1861809196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1548655103",
"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": "1964 SPRINGBROOK SQUARE DR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605645949",
"telephone_number": "630-871-6699",
"fax_number": "630-416-4331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDA - THARANI",
"first_name": "PATRICIA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-31",
"last_updated": "2023-06-30",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209012704",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pduda47168@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "1964 Springbrook Square Dr",
"city": "Naperville",
"state": "IL",
"country_code": "US",
"postal_code": "605645949",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "DUDA",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.