Active NPI
Michael J Flais, M.D.
- Allergy Physician
- Orland Park, IL
National Provider Identifier
1003899808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 36102033
- Practice address
- 10733 W. 165TH St.
Orland Park, IL 60467-8713 - Phone
- (708) 957-7468
- Fax
- (708) 957-7471
- NPI assigned
- Nov 25, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 36102033 | IL | Primary |
Addresses
Primary practice location
10733 W. 165TH St.
Orland Park, IL 60467-8713
Mailing address
10733 W. 165TH St.
Orland Park, IL 60467-8713
Phone (708) 957-7468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036102033 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75.69 of 100
- Quality
- 71.4
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 40.82 of 100
- Quality
- 9.1
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 43.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36102033 | IL | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salida Hospital District | Current | Accepting new patients | |
| Salida Hospital District | Current | Accepting new patients | |
| Colorado Allergy and Asthma Centers, PC | Current | Accepting new patients | |
| Salida Hospital District | Allergy & Immunology | Current | Accepting new patients |
| Ear, Nose & Throat Specialists of Illinois LTD | Past | Accepting new patients | |
| Colorado Allergy and Asthma Centers, PC | Past | Accepting new patients |
Locations
28374 County Road 317
Buena Vista, CO 81211
Phone (719) 395-9048
125 Rampart Way
Ste 200
Denver, CO 80230
Phone (720) 858-7550
2014 Caribou Dr
Ste 200
Fort Collins, CO 80525
Phone (970) 221-1681
1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265
Networks
- CO HMO D-SNP
- CO HMO
- NM HMO C-SNP
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
Interoperability endpoints
- allergy@hrrmcmedicalclinics.ssdirect.aprima.com
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Salida, CO
- NPI 1730258971
-
- Specialist
- Fort Collins, CO
- NPI 1669044350
-
- Rural Health Clinic/Center
- Buena Vista, CO
- NPI 1427395193
-
- Specialist
- Park Ridge, IL
- NPI 1750340949
-
- Specialist
- Brighton, CO
- NPI 1992377675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268784000000",
"number": "1003899808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10733 W. 165TH ST.",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604678713",
"telephone_number": "708-957-7468",
"fax_number": "708-957-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10733 W. 165TH ST.",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604678713",
"telephone_number": "708-957-7468",
"fax_number": "708-957-7471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAIS",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-25",
"last_updated": "2010-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "IL",
"license": "36102033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036102033",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.