Active NPI
Michael C Moran, MD
- Orthopaedic Surgery Physician
- Champaign, IL
National Provider Identifier
1073565784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036084080
- Practice address
- 1802 S. Mattis Avenue
Orthopedics
Champaign, IL 61821 - Phone
- (217) 383-7676
- Fax
- (217) 383-4910
- NPI assigned
- May 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036084080 | IL | Primary |
Addresses
Primary practice location
1802 S. Mattis Avenue
Orthopedics
Champaign, IL 61821
Mailing address
611 W Park St
BWPC
Urbana, IL 61801-2529
Phone (217) 383-6792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036084080 | Medicaid | IL |
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
- Orthopedic Surgery
- Education
- Rush Medical College of Rush University, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 S 1St St
Champaign, IL 61820-7661
Phone (217) 383-9400
516 W Madison St
Danville, IL 61832-5657
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
- Carle Home Care
- Carle Foundation Hospital
- Carle Hoopeston Regional Health Center
- Indiana University Health Ball Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 24 |
| Knee replacement | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036084080 | IL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients | |
| Midland Orthopedic Associates PLLC | Orthopaedic Surgery | Past | Accepting new patients |
| The Carle Foundation Hospital | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
2300 S 1st St
Champaign, IL 61820
Phone (217) 383-9400
1802 S Mattis Ave
Champaign, IL 61821
Phone (217) 365-2855
810 W Anthony Dr
Urbana, IL 61802
Phone (217) 326-2911
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Organizations & group practices 5
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
- Urbana, IL
- NPI 1154653947
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1114240876
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Orthopaedic Surgery Physician
- Chicago, IL
- NPI 1104863638
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
-
- Home Health Agency
- Champaign, IL
- NPI 1891780615
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399420800000",
"number": "1073565784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"address_2": "BWPC",
"city": "URBANA",
"state": "IL",
"postal_code": "618012529",
"telephone_number": "217-383-6792",
"fax_number": "217-383-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 S. MATTIS AVENUE",
"address_2": "ORTHOPEDICS",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "61821",
"telephone_number": "217-383-7676",
"fax_number": "217-383-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "MICHAEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2014-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036084080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036084080",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.