NPIMap

Organization Active NPI

Hinsdale Orthopaedic Associates, SC

  • Orthopaedic Surgery Physician
  • Westmont, IL
National Provider Identifier
1669776209
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
042620512 Issued in IL
Legal business name
HINSDALE ORTHOPAEDIC ASSOCIATES, SC
Practice address
1010 Executive Dr
Suite 250
Westmont, IL 60559-6135
Phone
(630) 323-6116
Fax
(630) 323-5610
NPI assigned
Dec 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Authorized official

Name
Michael C Durkin
Title
MD
Phone
(630) 794-8671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 042620512 IL Primary

Addresses

Primary practice location

1010 Executive Dr
Suite 250
Westmont, IL 60559-6135

Mailing address

1010 Executive Dr
Suite 250
Westmont, IL 60559-6135
Phone (630) 323-6116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423001010 IL Part B Supplier - Clinic/Group Practice 3476549452 Receives reassigned benefits from 86 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hinsdale, IL; Westmont, IL; Western Springs, IL; New Lenox, IL; Naperville, IL; Joliet, IL; Elmhurst, IL

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1669776209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 EXECUTIVE DR",
            "address_2": "SUITE 250",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605596135",
            "telephone_number": "630-323-6116",
            "fax_number": "630-323-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 EXECUTIVE DR",
            "address_2": "SUITE 250",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605596135",
            "telephone_number": "630-323-6116",
            "fax_number": "630-323-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINSDALE ORTHOPAEDIC ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "DURKIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "630-794-8671"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "042620512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.