Active NPI
Elias M Michaelides, M. D.
- Otology & Neurotology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otology & Neurotology Physician
- License
- 036-150555
- Practice address
- 1611 W Harrison St Ste 550
Chicago, IL 60612 - Phone
- (312) 942-6100
- NPI assigned
- Jun 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 036-150555 | IL | |
| Otology & Neurotology Physician | 207YX0901X | 036-150555 | IL | Primary |
Addresses
Primary practice location
1611 W Harrison St Ste 550
Chicago, IL 60612
Mailing address
1611 W Harrison St Ste 550
Chicago, IL 60612-4861
Phone (312) 942-6100
Other practice location 1
800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2593
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
- Otolaryngology
- Education
- State University of New York at Stony Brook, School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1411 S Michigan Ave
Chicago, IL 60605-2810
Phone (312) 454-2700
Hospital & facility affiliations
- Rush University Medical Center
- Rush Oak Park Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-150555 | IL | MD | Otology & Neurotology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Otolaryngology | Current | Accepting new patients |
| Rush University Medical Center | Current | Accepting new patients | |
| Michigan Ear Institute PLLC | Otolaryngology | Past | Accepting new patients |
| Piedmont Ear Nose &Throat Associates PC | Past | Accepting new patients |
Locations
1411 S Michigan Ave
Chicago, IL 60605
Phone (312) 454-2700
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1611 W Harrison St
Ste 550
Chicago, IL 60612
Phone (312) 563-4431
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
75 Remittance Dr
Dept 1611
Chicago, IL 60675
2011 York Rd
Ste 2000A
Oak Brook, IL 60523
Phone (312) 947-7546
Interoperability endpoints
- https://api.platform.athenahealth.com/21058/brand/1/csg/1/fhir/r4
- emichaelides157207@direct.rush.rush-health.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1689165540
-
- Otolaryngology Physician
- Farmington Hills, MI
- NPI 1568575215
-
- Otolaryngology/Facial Plastic Surgery Physician
- Atlanta, GA
- NPI 1245305879
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1043248503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 W HARRISON ST STE 550",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124861",
"telephone_number": "312-942-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 W HARRISON ST STE 550",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-942-6100"
}
],
"practiceLocations": [
{
"address_1": "800 Howard Ave",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065191369",
"country_code": "US",
"telephone_number": "203-785-2593",
"fax_number": "203-185-3970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHAELIDES",
"first_name": "ELIAS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036-150555",
"primary": false
},
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "IL",
"license": "036-150555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.