Individual provider Active NPI

William K Payne III, M.D.

  • Orthopaedic Surgery Physician
  • Olympia Fields, IL
National Provider Identifier
1902867328
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036093997 Issued in IL
Practice address
20201 Crawford Ave
Suite 1400
Olympia Fields, IL 60461-1010
Phone
(708) 679-2310
Fax
(708) 503-4445
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036093997 IL Primary

Addresses

Primary practice location

20201 Crawford Ave
Suite 1400
Olympia Fields, IL 60461-1010

Mailing address

1040 Sierra Dr
Suite 400
Greenwood, IN 46143-7240
Phone (317) 528-4253

Other identifiers 2

IdentifierTypeStateIssuer
L95565OtherILMEDICARE PTAN
036093997MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpayne5942@Direct.FranciscanAlliance.org Direct

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
I20101008000921 IL Practitioner - Orthopedic Surgery 5294647459 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Un of California, Irvine, College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18408 Governors Hwy
Homewood, IL 60430-2911
Phone (708) 647-0571

18410B Governors Hwy
Homewood, IL 60430-2911
Phone (708) 647-0571

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (844) 740-4445

20201 S Crawford Ave
Suite 1400
Olympia Fields, IL 60461-1010
Phone (708) 379-2310

3700 W 203Rd St
Olympia Fields, IL 60461-1180
Phone (708) 679-2580

3700 W 203Rd St
Olympia Fields, IL 60461-1182

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement13
Knee replacement1-10
Spinal fusion24
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)11
Laminectomy or laminotomy (partial removal of spine bones)11
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036093997ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Illinois, LLC CurrentSince Nov 18, 2002 Accepting new patients
Virtual Physician Associates, LTD. CurrentSince Dec 31, 2018 Accepting new patients
Specialty Physicians of Illinois, LLC Orthopaedic Surgery CurrentSince Nov 18, 2002 Accepting new patients

Locations

35318 Eagle Way
Chicago, IL 60678

333 Dixie Hwy
Chicago Hts, IL 60411
Phone (708) 756-0100

1000 Essington Rd
Joliet, IL 60435
Phone (312) 883-0930

20201 Crawford Ave
Ste 1400
Olympia Fields, IL 60461
Phone (708) 379-2310

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

345 Dixie Hwy
South Chicago Heights, IL 60411
Phone (708) 754-7601

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

Interoperability endpoints

  • Direct secure messaging: wpayne5942@direct.franciscanalliance.org
  • Direct secure messaging: dpayne5942@direct.franciscanalliance.org

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1902867328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SIERRA DR",
            "address_2": "SUITE 400",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437240",
            "telephone_number": "317-528-4253",
            "fax_number": "317-865-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 CRAWFORD AVE",
            "address_2": "SUITE 1400",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611010",
            "telephone_number": "708-679-2310",
            "fax_number": "708-503-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "WILLIAM",
        "middle_name": "K",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036093997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "L95565",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093997",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpayne5942@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20201 Crawford Ave",
            "address_2": "Suite 1400",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604611010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.