Active NPI
Curtis J. Hayden, M.D.
- Specialist
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036077085
- Practice address
- 2204 Eastland Dr
Bloomington, IL 61704-3566 - Phone
- (309) 662-9461
- Fax
- (309) 663-0222
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 036077085 | IL | Primary |
Addresses
Primary practice location
2204 Eastland Dr
Bloomington, IL 61704-3566
Mailing address
2204 Eastland Dr
Bloomington, IL 61704-3566
Phone (309) 662-9461
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5715381 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036077085 | Medicaid | IL | |
| 130005240 | Other | IL | MEDICARE ID |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients |
Locations
2575 W Algonquin Rd
Algonquin, IL 60102
Phone (847) 854-5533
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866
29373 Network Pl
Chicago, IL 60673
Organizations & group practices 4
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
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- NPI 1700824455
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1760588248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 EASTLAND DR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617043566",
"telephone_number": "309-662-9461",
"fax_number": "309-663-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 EASTLAND DR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617043566",
"telephone_number": "309-662-9461",
"fax_number": "309-663-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDEN",
"first_name": "CURTIS",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036077085",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5715381",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036077085",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "130005240",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.