Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Patrick J Noonan , DO

Pediatrics β€’ Urbana, IL

Active NPI 1972892958 Individual Practitioner Male Practitioner
Practice location in NPPES

611 W Park St
Urbana, IL 618012501

Call 2173833140 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

611 W Park St

Urbana, IL 618012501

Telephone 2173833140
Organization at the Same NPPES Address or Phone
Carle Foundation Physician Services Llc Facility NPI 1760438204

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Marshfield, WI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Noonan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Noonan as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Urbana and Illinois

34 active clinicians are listed under Pediatrics with a practice address in Urbana, IL (3,178 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Urbana

0% of these 34 clinicians have the CMS telehealth indicator.

5.9% of these 34 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-03
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IL 036145363

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Pediatric Critical Care Medicine

NUCC Taxonomy Code: 2080P0203X

License # reported to NPPES IN 02005099A

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WI 62036

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1972892958 (WI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20180912003247

Enrollment State Jurisdiction

IL

PECOS Control ID

7719106459

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1000 N Oak Ave

Marshfield, WI 544495703

Phone: 7153875511

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

19 listed
Danielle Berger , NP

Nurse Practitioner

NPI 1477971851

Nurse Practitioner

Dr. Tiffani Dillard , MD

Obstetrics & Gynecology

NPI 1871695684

Doctor of Medicine (M.D.)

Jessica Dyer , NP

Nurse Practitioner

NPI 1861702896

Nurse Practitioner

Aubrey Hudson , PA

Physician Assistant

NPI 1033399241

Physician Assistant

Dr. Jeremy Johnson , MD

Obstetrics & Gynecology

NPI 1548249097

Doctor of Medicine (M.D.)

Dr. Jay Keller , MD

Obstetrics & Gynecology

NPI 1790760544

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2025

Pediatrics (license number reported to NPPES: IN 02005099A)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2024

Pediatrics (license number reported to NPPES: WI 62036)

πŸ“
Updated Practice Location August 26, 2024

Registered at 611 W PARK ST, URBANA, IL 618012501 (Tel: 2173833140)

πŸ“
Updated Business Mailing Address August 26, 2024

Registered at 611 W PARK ST, URBANA, IL 618012501 (Tel: 2173833140)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2022

Pediatrics (license number reported to NPPES: WI 62036)

βœ…
NPI Profile Active October 16, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location October 16, 2017

Registered at 7950 W JEFFERSON BLVD STE 210, FORT WAYNE, IN 468044140 (Tel: 2604357355)

πŸ“
Updated Business Mailing Address October 16, 2017

Registered at 6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 468047934 (Tel: 2604793514)

πŸ‘€
Provider Name / Credentials Updated October 16, 2017

Recorded as PATRICK NOONAN, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2017

Pediatrics (license number reported to NPPES: IN 02005099A)

βœ…
NPI Profile Active July 30, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 30, 2014

Registered at 9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE, MILWAUKEE, WI 532264874 (Tel: 4142663360)

πŸ“
Business Mailing Address (Initial Record) July 30, 2014

Registered at 9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE, MILWAUKEE, WI 532264874 (Tel: 4142663360)

πŸ‘€
Provider Name / Credentials (Initial Record) July 30, 2014

Recorded as PATRICK NOONAN, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2014

Pediatrics (license number reported to NPPES: WI 62036)

🟒
Initial NPI Registration & Enumeration March 30, 2011

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1972892958
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2011
Last Update: November 03, 2025
Sole Proprietor: No

Other Pediatrics Specialists in Urbana

Healthcare providers in Urbana

Mailing Address

611 W Park St

Urbana, IL 618012501

Phone: 2173833140

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.