Individual provider Active NPI

John V O'Hara, MD

  • Pain Medicine (Anesthesiology) Physician
  • Elgin, IL
National Provider Identifier
1811056559
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036070333 Issued in IL
Practice address
810 S McLean Blvd
Elgin, IL 60123-6703
Phone
(847) 632-9919
NPI assigned
Dec 8, 2006
Last updated
Feb 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036070333 IL Primary

Addresses

Primary practice location

810 S McLean Blvd
Elgin, IL 60123-6703

Mailing address

415 W Golf Rd
Ste 3
Arlington Heights, IL 60005-3923
Phone (630) 221-8000

Other identifiers 1

IdentifierTypeStateIssuer
036070333MedicaidIL

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
I20040710000062 IL Practitioner - Pain ManagementPractitioner - Anesthesiology 0840278461 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Naperville Rehabilitation and Pain Management Center, P.C. CurrentSince Sep 15, 2021 Accepting new patients
Naperville Rehab and Medical Clinic PC CurrentSince Sep 15, 2021 Accepting new patients
Yashar Ghoreshi DC LTD Advanced Health & Pain Center Pain Medicine CurrentSince Mar 7, 2023 Accepting new patients
Neurospinal Center Past Accepting new patients
Dupage Healthcare LTD PastSince Mar 4, 2013 Accepting new patients
Dupage Chiropractic Centre, LTD Past Accepting new patients
Multispecialty Medical Center LTD Past Accepting new patients

Locations

2016 W Chicago Ave
#1
Chicago, IL 60622
Phone (312) 620-3692

1750 N Washington St
Ste 112C
Naperville, IL 60563
Phone (630) 946-6155

445W Jackson Ave
#101
Naperville, IL 60540

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1811056559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD",
            "address_2": "STE 3",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053923",
            "telephone_number": "630-221-8000",
            "fax_number": "844-273-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S MCLEAN BLVD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601236703",
            "telephone_number": "847-632-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "JOHN",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036070333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036070333",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.