Individual provider Active NPI

Donald A Galvin, PA-C

  • Physician Assistant
  • Decatur, IL
National Provider Identifier
1780014225
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2300 N Edward St
Decatur, IL 62526-4163
Phone
(217) 876-3000
Fax
(217) 876-3077
NPI assigned
Nov 20, 2013
Last updated
Mar 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

2300 N Edward St
Decatur, IL 62526-4163

Mailing address

550 W Ogden Ave
Hinsdale, IL 60521-3186
Phone (630) 323-6116

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140113000622 IL Practitioner - Physician Assistant 2860620135 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1034 Warren Ave
Downers Grove, IL 60515-3601
Phone (630) 718-6080

2101 Waukegan Rd
Bannockburn, IL 60015-1836

333 Madison St
Joliet, IL 60435-8200
Phone (815) 725-7133

4700 Gilbert Ave
Suite 51
Western Springs, IL 60558-1664
Phone (708) 387-1750

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 352-1200

550 W Ogden Ave
Hinsdale, IL 60521-3186
Phone (630) 323-6116

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute LLC CurrentSince Oct 1, 2020 Accepting new patients
Hinsdale Orthopaedic Associates, SC CurrentSince Mar 20, 2019 Accepting new patients
Hinsdale Orthopaedic Associates, SC CurrentSince Mar 20, 2019 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Oct 1, 2020 Accepting new patients
Decatur Emergency Medical Services II S C Past Accepting new patients

Locations

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

5057 Paysphere Cir
Chicago, IL 60674

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

1034 Warren Ave
Downers Grove, IL 60515
Phone (630) 852-7325

550 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 323-6116

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

1010 Executive Dr
Ste 250
Westmont, IL 60559
Phone (630) 655-8785

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1780014225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W OGDEN AVE",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213186",
            "telephone_number": "630-323-6116",
            "fax_number": "630-794-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264163",
            "telephone_number": "217-876-3000",
            "fax_number": "217-876-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVIN",
        "first_name": "DONALD",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-20",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.