Individual provider Active NPI

Daniel Hawthorne, MD

  • Family Medicine Physician
  • Wheaton, IL
National Provider Identifier
1871906594
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036141915 Issued in IL
Practice address
2001 S Wiesbrook Rd
Wheaton, IL 60189-7813
Phone
(630) 614-4000
Fax
(630) 614-4048
NPI assigned
Jun 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 036141915 IL Primary

Addresses

Primary practice location

2001 S Wiesbrook Rd
Wheaton, IL 60189-7813

Mailing address

2001 S Wiesbrook Rd
Wheaton, IL 60189-7813
Phone (630) 614-4000

Other practice location 1

3 Erie Ct
Oak Park, IL 60302-2519
Phone (708) 406-3929

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
I20161202000085 IL Practitioner - Family Practice 3173803467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

2001 S Wiesbrook Rd
Wheaton, IL 60189-7813
Phone (630) 614-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Community Wellness Center CurrentSince Nov 29, 2016 Accepting new patients
Central Dupage Physician Group Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
PCC Community Wellness Center CurrentSince Nov 29, 2016 Accepting new patients
Central Dupage Physician Group CurrentSince Aug 1, 2024 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

3 Erie Ct
#1300
Oak Park, IL 60302
Phone (708) 406-3929

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

2001 S Wiesbrook Rd
Wheaton, IL 60189
Phone (630) 510-7666

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.

Hospital & facility affiliations 5

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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1871906594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S WIESBROOK RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897813",
            "telephone_number": "630-614-4000",
            "fax_number": "630-614-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S WIESBROOK RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897813",
            "telephone_number": "630-614-4000",
            "fax_number": "630-614-4048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Erie Ct",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603022519",
            "country_code": "US",
            "telephone_number": "708-406-3929",
            "fax_number": "708-406-3935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036141915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.