Active NPI
Mary E. Doran, D.P.M
- Podiatrist
- Bolingbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016005093
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016005093 | Medicaid | IL |
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
Enrollment records 1
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
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 100
- Quality
- 72.99
- Improvement activities
- 40
- Cost
- 75.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 3720 |
| Removal or shaving of skin growth | 968 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Foot and Ankle Care, P.C. | Current | Accepting new patients | |
| Preferred Podiatry Group PC | Podiatrist | Current | 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
- 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.
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- NPI 1326090499
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.