Active NPI
Abenet Michael
- Ophthalmology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036148759
- Practice address
- 450 Clarkson Ave
Brooklyn, NY 11203-2012 - Phone
- (718) 270-1000
- NPI assigned
- Jun 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036148759 | IL | Primary |
Addresses
Primary practice location
450 Clarkson Ave
Brooklyn, NY 11203-2012
Mailing address
1801 W Taylor St
Chicago, IL 60612-4795
Other practice location 1
16 Guion Pl
New Rochelle, NY 10801-5502
Phone (914) 365-3680
Other practice location 2
1801 W Taylor St
Chicago, IL 60612-4795
Phone (617) 820-4566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 Compare- Specialty
- Ophthalmology
- Education
- Tulane University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1009 S Wood St
Chicago, IL 60612-3747
Phone (312) 413-4900
Hospital & facility affiliations
- University of Illinois Hospital and Clinics
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Ophthalmology | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients |
Locations
1740 W Taylor St
Ste 1400
Chicago, IL 60612
Phone (312) 996-3900
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
1801 W Taylor St
Chicago, IL 60612
Phone (312) 355-1700
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
Interoperability endpoints
- amichael171411@uihealth.direct-ci.com
Organizations & group practices 3
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Ophthalmology Physician
- Chicago, IL
- NPI 1720208135
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1861431751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1033779798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "718-270-1000"
}
],
"practiceLocations": [
{
"address_1": "16 Guion Pl",
"address_purpose": "LOCATION",
"city": "New Rochelle",
"state": "NY",
"postal_code": "108015502",
"country_code": "US",
"telephone_number": "914-365-3680",
"fax_number": "914-365-5489",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1801 W Taylor St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606124795",
"country_code": "US",
"telephone_number": "617-820-4566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHAEL",
"first_name": "ABENET",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-15",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036148759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.