NPIMap

Individual provider Active NPI

Donald E Roland, MD

  • Pain Medicine (Anesthesiology) Physician
  • Bourbonnais, IL
National Provider Identifier
1821074600
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036061659 Issued in IL
Practice address
461 Brown Blvd
Bourbonnais, IL 60914-2322
Phone
(815) 932-7242
Fax
(815) 932-7307
NPI assigned
Dec 22, 2005
Last updated
Dec 31, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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 036061659 IL Primary

Addresses

Primary practice location

461 Brown Blvd
Bourbonnais, IL 60914-2322

Mailing address

461 Brown Blvd
Bourbonnais, IL 60914-2322
Phone (815) 932-7242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202000023 IL Practitioner - Pain ManagementPractitioner - Anesthesiology 3072416403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Rush Medical College of Rush University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedic and Spine Care SCGroup PAC ID 4789835836, 8 clinicians
Pain and Spine Institute, LLCGroup PAC ID 7618979170, 11 clinicians

Practice addresses (Care Compare)

16255 Harlem Ave
Tinley Park, IL 60477-1615
Phone (708) 599-5000

555 W Court St
Suite 100
Kankakee, IL 60901-3673
Phone (888) 362-7472

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036061659ILMDPain Medicine (Anesthesiology) Physician
036061658ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedic and Spine Care SC CurrentSince Sep 1, 2019 Accepting new patients
Pain & Spine Institute, LLC Pain Medicine CurrentSince Jul 1, 2023 Accepting new patients
Pain & Spine Institute, LLC CurrentSince Jul 1, 2023 Accepting new patients
Joliet Pain Care Center Pain Medicine Past Accepting new patients
Pain Care America Past Accepting new patients
Metro Area Pain Consultants, LTD Past Accepting new patients

Locations

744 Essington Rd
Joliet, IL 60435
Phone (815) 730-1100

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

555 W Court St
Ste 100
Kankakee, IL 60901
Phone (815) 929-1520

6701 W 95th St
Oak Lawn, IL 60453
Phone (708) 599-5000

16255 Harlem Ave
Tinley Park, IL 60477
Phone (708) 599-5000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1821074600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 BROWN BLVD",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142322",
            "telephone_number": "815-932-7242",
            "fax_number": "815-932-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 BROWN BLVD",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142322",
            "telephone_number": "815-932-7242",
            "fax_number": "815-932-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "DONALD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036061659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

Verify at the official NPI Registry.