Individual provider Active NPI

Patrick C Foley, DO

  • Family Medicine Physician
  • Dayton, OH
National Provider Identifier
1649913963
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036176645 Issued in IL
Practice address
405 W Grand Ave
Dayton, OH 45405-7538
Phone
(937) 723-3245
NPI assigned
Apr 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036176645 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

405 W Grand Ave
Dayton, OH 45405-7538

Mailing address

405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 723-3245

Other practice location 1

525 Rockland Rd Fl 1
Lake Bluff, IL 60044-1778
Phone (847) 535-7157

Other practice location 2

165 E. Edwin C Moses Blvd
Ste 100
Dayton, OH 45405
Phone (937) 535-5060

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
I20250917001672 IL Practitioner - Family Practice 4880072644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

525 Rockland Rd
FL 1
Lake Bluff, IL 60044-1778
Phone (847) 585-7658

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036176645ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Sep 1, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 1, 2025 Accepting new patients
Central Dupage Physician Group Family Medicine Past Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

525 Rockland Rd
Fl 1
Lake Bluff, IL 60044
Phone (847) 585-7658

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

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.

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": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1649913963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W GRAND AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454057538",
            "telephone_number": "937-723-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GRAND AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454057538",
            "telephone_number": "937-723-3245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Rockland Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Lake Bluff",
            "state": "IL",
            "postal_code": "600441778",
            "country_code": "US",
            "telephone_number": "847-535-7157",
            "fax_number": "847-535-6467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 E. Edwin C Moses Blvd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "45405",
            "country_code": "US",
            "telephone_number": "937-535-5060",
            "fax_number": "513-737-1592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "PATRICK",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-14",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036176645",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.