Individual provider Active NPI

Eileen M Mahoney, M.D.

  • Pediatric Otolaryngology Physician
  • Hinsdale, IL
National Provider Identifier
1720012446
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
W6081 Issued in TX
Practice address
11 Salt Creek LN Ste 101
Hinsdale, IL 60521-3032
Phone
(630) 789-3110
Fax
(630) 241-0884
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036090704 IL
Pediatric Otolaryngology Physician 207YP0228X 2025049666 MO
Pediatric Otolaryngology Physician 207YP0228X 036090704 IL
Pediatric Otolaryngology Physician 207YP0228X W6081 TX Primary

Addresses

Primary practice location

11 Salt Creek LN Ste 101
Hinsdale, IL 60521-3032

Mailing address

11 Salt Creek LN Ste 101
Hinsdale, IL 60521-3032
Phone (630) 789-3110

Other practice location 1

903 W Martin St # MS 49-2
San Antonio, TX 78207-0903
Phone (210) 358-3400

Other practice location 2

8300 Floyd Curl Dr
San Antonio, TX 78229-3931
Phone (210) 644-9300

Other practice location 3

9618 Huebner Rd Ste 310
San Antonio, TX 78240-1777
Phone (210) 358-4583

Other practice location 4

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone (314) 617-2000

Other practice location 5

16723 Huebner Rd Ste 310
San Antonio, TX 78248-2351
Phone (210) 644-3600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eillen.mahoney.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031211001094 IL Practitioner - Otolaryngology 2062318744 Reassigns benefits to 1 organization
I20260110000100 MO Practitioner - Otolaryngology 2062318744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000

396 Remington Blvd
Bolingbrook, IL 60440-4311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036090704ILMDPediatric Otolaryngology Physician
2025049666MOMDPediatric Otolaryngology Physician
W6081TXMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group Otolaryngology CurrentSince Jan 1, 2026 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Health Partners, Inc Otolaryngology CurrentSince Nov 1, 2010 Accepting new patients
SSM Health Care Group CurrentSince Jan 1, 2026 Accepting new patients
Adventist Health Partners,Inc CurrentSince Nov 1, 2010 Accepting new patients
Community Medicine Associates PastSince Aug 8, 2024 Accepting new patients
University of Texas Health Science Center at San Antonio Past Accepting new patients
Midwest Ear, Nose & Throat Consultants, LTD. Otolaryngology Past Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

11 Salt Creek Ln
Ste 101
Hinsdale, IL 60521
Phone (630) 789-3110

5201 Willow Springs Rd
Ste 240
La Grange Highlands, IL 60525
Phone (630) 323-5214

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

Interoperability endpoints

  • Direct secure messaging: emahoney1240214@adventhealth.direct-ci.com
  • Direct secure messaging: eillen.mahoney.1@380.direct.athenahealth.com

Organizations & group practices 8

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 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1720012446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SALT CREEK LN STE 101",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213032",
            "telephone_number": "630-789-3110",
            "fax_number": "630-241-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SALT CREEK LN STE 101",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213032",
            "telephone_number": "630-789-3110",
            "fax_number": "630-241-0884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 W Martin St # MS 49-2",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782070903",
            "country_code": "US",
            "telephone_number": "210-358-3400",
            "fax_number": "210-358-6777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 Floyd Curl Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293931",
            "country_code": "US",
            "telephone_number": "210-644-9300",
            "fax_number": "210-644-9307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9618 Huebner Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401777",
            "country_code": "US",
            "telephone_number": "210-358-4583",
            "fax_number": "210-358-0510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1465 S Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041003",
            "country_code": "US",
            "telephone_number": "314-617-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16723 Huebner Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782482351",
            "country_code": "US",
            "telephone_number": "210-644-3600",
            "fax_number": "210-702-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "EILEEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036090704",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "MO",
            "license": "2025049666",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "IL",
            "license": "036090704",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "TX",
            "license": "W6081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eillen.mahoney.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "11 Salt Creek Ln Ste 101",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605213032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.