Individual provider Active NPI

Jill Kathleen Moran, MD

  • Maternal & Fetal Medicine Physician
  • Naperville, IL
National Provider Identifier
1679524581
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
036-108883 Issued in IL
Practice address
100 Spalding Dr Ste 112
Naperville, IL 60540-6551
Phone
(630) 527-3278
Fax
(630) 545-7847
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 036-108883 IL Primary

Addresses

Primary practice location

100 Spalding Dr Ste 112
Naperville, IL 60540-6551

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other practice location 1

430 Pennsylvania Ave Ste 340
Glen Ellyn, IL 60137-4464
Phone (630) 545-3612

Other identifiers 1

IdentifierTypeStateIssuer
036108883MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jmoran21780@direct.edward.org
Direct Messaging Address jmoran21780@dulyhealthandcare.direct-ci.com

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
I20060523000009 IL Practitioner - Obstetrics/Gynecology 5496766859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loyola University of Chicago, Stritch School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

100 Spalding Dr
Suite 102
Naperville, IL 60540-6551
Phone (630) 871-6699

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-108883ILMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Jun 1, 2013 Accepting new patients
Dupage Medical Group LTD CurrentSince Jun 1, 2013 Accepting new patients
Suburban Maternal Fetal Medicine Maternal & Fetal Medicine Past Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

3743 Highland Ave
Ste 1002
Downers Grove, IL 60515
Phone (630) 435-6107

1200 S York St
#1120
Elmhurst, IL 60126

430 Pennsylvania Ave
Ste 340
Glen Ellyn, IL 60137
Phone (630) 545-3612

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

100 Spalding Dr
Ste 102
Naperville, IL 60540
Phone (630) 355-5860

100 Spalding Dr
Ste 112
Naperville, IL 60540
Phone (630) 355-6456

Interoperability endpoints

  • Direct secure messaging: jmoran21780@direct.edward.org
  • Direct secure messaging: jmoran21780@dulyhealthandcare.direct-ci.com

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1679524581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPALDING DR STE 112",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406551",
            "telephone_number": "630-527-3278",
            "fax_number": "630-545-7847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Pennsylvania Ave Ste 340",
            "address_purpose": "LOCATION",
            "city": "Glen Ellyn",
            "state": "IL",
            "postal_code": "601374464",
            "country_code": "US",
            "telephone_number": "630-545-3612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "JILL",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IL",
            "license": "036-108883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108883",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoran21780@direct.edward.org",
            "affiliation": "N",
            "address_1": "100 Spalding Dr Ste 112",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoran21780@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "430 Pennsylvania Ave Ste 340",
            "city": "Glen Ellyn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601374464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.