Michal Ora Mendelsberg

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

041.392571 Issued in IL

Practice address

800 Devon Ave
Park Ridge, IL 60068-4760

Phone

(800) 323-8622

Fax

(224) 225-0374

NPI assigned

Sep 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Corr Health Wi, SCGroup PAC ID 2163877879, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmendelsberg205486@direct.myadvocateaurora.org
• Direct secure messaging: michal.mendelsberg@672894380343300.direct.elationemr.com

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.

• Corr Health Wi, SC

  • General Practice Physician
  • Milwaukee, WI
  • NPI 1508641291

  IL

  Medicare reassignment Care Compare group NPD
• Vital Link Physician Group PLLC

  • Family Medicine Physician
  • Niles, IL
  • NPI 1679311336
  Medicare reassignment NPD
• Take Care Health Illinois, P.C.

  • Family Nurse Practitioner
  • Arlington Heights, IL
  • NPI 1730192022
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1003198235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 DEVON AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684760",
            "telephone_number": "800-323-8622",
            "fax_number": "224-225-0374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Deerfield Parkway Suit 30",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "60089",
            "country_code": "US",
            "telephone_number": "847-223-9494",
            "fax_number": "847-543-4351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDELSBERG",
        "first_name": "MICHAL",
        "middle_name": "ORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "041.392571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmendelsberg205486@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "800 Devon Ave",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600684760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "800 Devon Ave",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600684760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shilpa P. Mehta, M.D.
• Supal Mehta, MD
• Marwa Mekki, MD
• Lisa J Melnick
• Bridget Melody
• Leticia Mendez, APN
• Renae T Mendez, LCSW
• William G Menegas, DDS
• Matthew Charles Menezes, M.D.
• Merchant Adams LLC

• Nurse Practitioner in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.

Verify at the official NPI Registry.