OPEN DOOR CLINIC
NPI 1174902555
Internal Medicine - Infectious Disease in Aurora, IL
About Open Door Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPEN DOOR CLINIC (NPI 1174902555) is a healthcare organization registered as an infectious disease in Aurora, Illinois and active in the NPI registry since May 2015. The organization lists David Roesler, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Open Door Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Open Door Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Open Door Clinic's NPI number?
The NPI number for Open Door Clinic is 1174902555. It was assigned to this organization in the NPPES registry on May 19, 2015.
Where is Open Door Clinic located?
Open Door Clinic is located at 157 S Lincoln Ave Suite K, Aurora, IL 60505. The listed phone number is (630) 264-1819.
What is Open Door Clinic's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is Open Door Clinic enrolled in Medicare?
Yes. Open Door Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Open Door Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Open Door Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Open Door Clinic was last updated on May 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Open Door Clinic · NPI 1174902555
Infectious Disease organization in Aurora, Illinois. Organization record, active in the CMS NPPES registry since May 19, 2015.
## Identity
- **NPI:** 1174902555 (Entity type: Organization)
- **Enumerated:** May 19, 2015
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **Organization subpart:** No
- **Authorized official:** David Roesler, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 157 S LINCOLN AVE, SUITE K, Aurora, IL 60505-4264
- **Phone:** (630) 264-1819 · **Fax:** (630) 229-0182
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1174902555) · Data from the CMS NPPES public registry.