Active NPI
Daniel R Bateman, MD
- Psychiatry Physician
- Woodstock, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036162029
- Practice address
- 3707 Doty Rd Ste a
Woodstock, IL 60098-7530 - Phone
- (815) 334-5018
- Fax
- (815) 337-5499
- NPI assigned
- Apr 23, 2008
- Last updated
- Aug 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 390200000X | NH | |
| Psychiatry Physician | 2084P0800X | 01075387A | IN | |
| Geriatric Psychiatry Physician | 2084P0805X | 0420011789 | VT | |
| Psychiatry Physician | 2084P0800X | 036162029 | IL | Primary |
| Psychiatry Physician | 2084P0800X | 0420011789 | VT |
Addresses
Primary practice location
3707 Doty Rd Ste a
Woodstock, IL 60098-7530
Mailing address
3707 Doty Rd Ste a
Woodstock, IL 60098-7530
Phone (815) 334-5018
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201300990 | Medicaid | IN | |
| 1016493 | Medicaid | VT | |
| 14531 | Other | NH | NEW HAMPSHIRE MEDICAL LICENSE |
| 001132801 | Other | VT | MEDICARE PIN LINKED TO CVMC |
| 001132802 | Other | VT | MEDICARE PIN LINKED TO CVMC MGP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3701 Doty Rd
Woodstock, IL 60098-7550
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036162029 | IL | MD | Psychiatry Physician |
| 390200000X | NH | MD | Psychiatry Physician |
| 0420011789 | VT | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Central Vermont Medical Center Inc | Psychiatry | Past | Accepting new patients |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
5208 Reliable Pkwy
Chicago, IL 60686
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
3701 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170
3707 Doty Rd
Ste A
Woodstock, IL 60098
Phone (815) 334-5018
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600
355 W 16th St
Ste 4800
Indianapolis, IN 46202
Phone (317) 963-7288
355 W 16th St
Indianapolis, IN 46202
Phone (317) 963-7070
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
355 W 16th St
Ste 2800
Indianapolis, IN 46202
Phone (317) 963-7300
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000
355 W 16th St
Ste GH2800
Indianapolis, IN 46202
720 Eskenazi Ave
Fl 6
Indianapolis, IN 46202
Phone (317) 880-0000
Interoperability endpoints
- dbateman15261@direct.eskenazihealth.edu
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.
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
dba IU Health Physicians
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
dba Northwestern Medicine Regional Medical Group
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
dba Centegra Hospital McHenry
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1942475678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3707 DOTY RD STE A",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600987530",
"telephone_number": "815-334-5018",
"fax_number": "815-337-5499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 DOTY RD STE A",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600987530",
"telephone_number": "815-334-5018",
"fax_number": "815-337-5499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATEMAN",
"first_name": "DANIEL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-23",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NH",
"license": "390200000X",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01075387A",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "VT",
"license": "0420011789",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036162029",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VT",
"license": "0420011789",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201300990",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1016493",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW HAMPSHIRE MEDICAL LICENSE",
"identifier": "14531",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN LINKED TO CVMC",
"identifier": "001132801",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN LINKED TO CVMC MGP",
"identifier": "001132802",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.