Individual provider Active NPI

Michael J Flais, M.D.

  • Allergy Physician
  • Orland Park, IL
National Provider Identifier
1003899808
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
36102033 Issued in IL
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

Updated by the provider on Mar 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036102033MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210622001521 CO Practitioner - Allergy/Immunology 9830146489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.69 of 100Reported as group
Quality
71.4
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
40.82 of 100Reported as group
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

LicenseStateTypeSpecialty
36102033ILMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salida Hospital District CurrentSince Jan 1, 2024 Accepting new patients
Salida Hospital District CurrentSince Jan 1, 2024 Accepting new patients
Colorado Allergy and Asthma Centers, PC CurrentSince Aug 1, 2021 Accepting new patients
Salida Hospital District Allergy & Immunology Current Accepting new patients
Ear, Nose & Throat Specialists of Illinois LTD PastSince Jul 31, 2020 Accepting new patients
Colorado Allergy and Asthma Centers, PC PastSince Jul 25, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.