Individual provider Active NPI

Mary E. Doran, D.P.M

  • Podiatrist
  • Bolingbrook, IL
National Provider Identifier
1619976016
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005093 Issued in IL
Practice address
726 S Weber Rd
Bolingbrook, IL 60490-5451
Phone
(630) 739-6610
NPI assigned
Jul 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016005093 IL Primary

Addresses

Primary practice location

726 S Weber Rd
Bolingbrook, IL 60490-5451

Mailing address

227 Clubhouse St
Bolingbrook, IL 60490-2058
Phone (630) 739-6610

Other identifiers 1

IdentifierTypeStateIssuer
016005093MedicaidIL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070322000009 IL Practitioner - Podiatry 0446353924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

1 Myrtle Lane
Calhoun Nursing and Rehab Ctr
Hardin, IL 62047-1002
Phone (618) 576-2278

726 S Weber Rd
Bolingbrook, IL 60490-5451
Phone (630) 739-6610

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue3720
Removal or shaving of skin growth968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot and Ankle Care, P.C. CurrentSince Feb 23, 2007 Accepting new patients
Preferred Podiatry Group PC Podiatrist CurrentSince Apr 18, 2012 Accepting new patients
Medical Specialists LTD Past Accepting new patients

Locations

550 E Boughton Rd
Ste 195
Bolingbrook, IL 60440
Phone (630) 739-6610

726 S Weber Rd
Bolingbrook, IL 60490
Phone (630) 378-9785

637 Hillsboro Ave
Edwardsville, IL 62025
Phone (618) 656-1136

900 Kiwanis Dr
Freeport, IL 61032
Phone (815) 235-6196

1 Myrtle
Hardin, IL 62047
Phone (618) 576-2278

1201 N Alton St
Lebanon, IL 62254
Phone (618) 537-4401

425 Huehl Rd
#13
Northbrook, IL 60062
Phone (847) 504-5007

5801 S Cass Ave
Westmont, IL 60559
Phone (630) 217-6779

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1619976016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 CLUBHOUSE ST",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604902058",
            "telephone_number": "630-739-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 S WEBER RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905451",
            "telephone_number": "630-739-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAN",
        "first_name": "MARY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005093",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.