Individual provider Active NPI

Patrick Clinton Fenner, MD

  • Cardiovascular Disease Physician
  • Downers Grove, IL
National Provider Identifier
1588616585
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036084061 Issued in IL
Practice address
3825 Highland Ave
Tower 2 Suite 400
Downers Grove, IL 60515-1552
Phone
(630) 719-4799
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036084061 IL Primary

Addresses

Primary practice location

3825 Highland Ave
Tower 2 Suite 400
Downers Grove, IL 60515-1552

Mailing address

29373 Network PL
Chicago, IL 60673-1293

Other identifiers 2

IdentifierTypeStateIssuer
036084061MedicaidIL
060069163OtherRAILROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pfenner206544@direct.myadvocateaurora.org Direct
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
I20040515000344 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3173513793 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Wayne State University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedishamerican HospitalGroup PAC ID 5799698346, 386 clinicians

Practice addresses (Care Compare)

1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036084061ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Hospital CurrentSince Jul 14, 2010 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Sep 28, 2009 Accepting new patients
Edward Hospital Cardiovascular Disease CurrentSince Jul 14, 2010 Accepting new patients
Central Dupage Hospital Association CurrentSince Jan 17, 2000 Accepting new patients
Central Dupage Hospital Association CurrentSince Jan 17, 2000 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Jun 17, 2015 Accepting new patients
Winfield Pathology Consultants, S.C. Current Accepting new patients
Swedishamerican Hospital CurrentSince Dec 17, 2025 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Sep 28, 2009 Accepting new patients
Swedishamerican Hospital CurrentSince Dec 17, 2025 Accepting new patients
Midwest Heart Specialists, LTD Cardiovascular Disease Past Accepting new patients
Edward Cardiovascular Institute Cardiovascular Disease Past Accepting new patients
Edward Cardiovascular Institute Cardiovascular Disease Past Accepting new patients

Locations

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

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

Carol Stream, IL 60122

75 Remittance Dr
Dept 1611
Chicago, IL 60675

29373 Network Pl
Chicago, IL 60673

3825 Highland Ave
Ste 400
Downers Grove, IL 60515
Phone (630) 719-4799

3825 Highland Ave
Ste 400
Downers Grove, IL 60515
Phone (630) 719-4799

3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900

172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377

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

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

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

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

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

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

9600 Gross Point Rd
Skokie, IL 60076
Phone (847) 677-9600

25 N Winfield Rd
#301
Winfield, IL 60190

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

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
  • Direct secure messaging: pfenner206544@direct.myadvocateaurora.org

Organizations & group practices 14

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.

View all 14

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1588616585",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE",
            "address_2": "TOWER 2 SUITE 400",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151552",
            "telephone_number": "630-719-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNER",
        "first_name": "PATRICK",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036084061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084061",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060069163",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pfenner206544@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3825 Highland Ave",
            "address_2": "Tower 2 Suite 400",
            "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",
            "address_2": "Tower 2 Suite 400",
            "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.