DAVID J. BORDO (MD) – Emergency Medicine Physician, NPI 1184624298

DAVID J. BORDO (MD) is a healthcare provider. based in Lombard, Illinois. specializing in Emergency Medicine Physician. They hold the professional credentials MD. The NPI Number for DAVID J. BORDO (MD) is 1184624298

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DAVID J. BORDO (MD)
NPI
1184624298
Phone
(630) 874-2542
Address
520 E 22ND ST
Enumeration Date
29 July 2005
Last Update Date
16 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7737748000
Graduation Year
1997 (29 years ago)
PAC ID
9537144589
Group Practice PAC ID
3274793633
Professional Enrollment ID
I20040623000209
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for DAVID J. BORDO (MD)

  • 520, East 22nd Street, Highland Hills, Lombard, DuPage County, Illinois, 60148, United States

    LOMBARD, IL 601486110

    Phone: (630) 874-2542

    Fax: (630) 874-2642

    Type: Mailing

  • Community First Medical Center, 5645, West Addison Street, Martin Luther, Portage Park, Chicago, Jefferson Township, Cook County, Illinois, 60634, United States

    OUR LADY OF THE RESURECTION HOSPITAL

    CHICAGO, IL 606344403

    Phone: (773) 282-7000

    Fax: (773) 794-7664

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040623000209IEmergency MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60148)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274793633View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Emergency Medicine, Internal MedicineIN
-IL
Emergency MedicineWI
Emergency MedicineIL
Emergency MedicinePA
Emergency MedicineCA
Emergency MedicineIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Is DAVID J. BORDO (MD) listed with a National Provider Identifier?
Yes — DAVID J. BORDO (MD) has NPI 1184624298 on file in the registry.
Is there an active status for DAVID J. BORDO (MD)?
For scheduling context, DAVID J. BORDO (MD) is shown as active in the registry.
What kind of doctor is DAVID J. BORDO (MD)?
DAVID J. BORDO (MD) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is DAVID J. BORDO (MD) registered?
Use Lombard, Illinois as the headline location for DAVID J. BORDO (MD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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