Active NPI
Jill Kathleen Moran, MD
- Maternal & Fetal Medicine Physician
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 036-108883
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036108883 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-108883 | IL | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | 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
- jmoran21780@direct.edward.org
- 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.
-
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- Maternal & Fetal Medicine Physician
- Hoffman Estates, IL
- NPI 1174573935
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.