Organization Active NPI

Hinsdale Orthopaedic Associates, SC

  • Orthopaedic Surgery Physician
  • Joliet, IL
National Provider Identifier
1861796096
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
042620352 Issued in IL
Legal business name
HINSDALE ORTHOPAEDIC ASSOCIATES, SC
Practice address
951 Essington Rd
Joliet, IL 60435-8427
Phone
(815) 744-4551
Fax
(815) 744-4756
NPI assigned
Jan 3, 2011
Last updated
Oct 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Authorized official

Name
Michael C Durkin, MD
Title
MD
Phone
(630) 794-8671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Orthopaedic Surgery Physician 207X00000X 042620352 IL Primary

Addresses

Primary practice location

951 Essington Rd
Joliet, IL 60435-8427

Mailing address

951 Essington Rd
Joliet, IL 60435-8427
Phone (815) 744-4551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423001010 IL Part B Supplier - Clinic/Group Practice 3476549452 Receives reassigned benefits from 86 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hinsdale, IL; Westmont, IL; Western Springs, IL; New Lenox, IL; Naperville, IL; Joliet, IL; Elmhurst, IL

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

951 Essington Rd
Joliet, IL 60435
Phone (815) 744-4551

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1861796096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358427",
            "telephone_number": "815-744-4551",
            "fax_number": "815-744-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358427",
            "telephone_number": "815-744-4551",
            "fax_number": "815-744-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINSDALE ORTHOPAEDIC ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "DURKIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "630-794-8671",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "042620352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.