Active NPI
Michael Thomas Andreoli, M.D.
- Ophthalmology Physician
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036137966
- Practice address
- 636 Raymond Dr Ste 300
Naperville, IL 60563-9792 - Phone
- (331) 732-4370
- Fax
- (331) 732-4375
- NPI assigned
- Jun 20, 2011
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036137966 | IL | Primary |
Addresses
Primary practice location
636 Raymond Dr Ste 300
Naperville, IL 60563-9792
Mailing address
636 Raymond Dr Ste 300
Naperville, IL 60563-9792
Phone (331) 732-4370
Other practice location 1
2015 N Main St
Wheaton, IL 60187-3152
Phone (630) 668-8250
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
- Boston University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
636 Raymond Dr
Suite 107
Naperville, IL 60563-9789
Phone (630) 416-2300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 64 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036137966 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Internal Medicine | Current | Accepting new patients |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Internal Medicine | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582
1855 W Taylor St
#648
Chicago, IL 60612
Phone (312) 996-6582
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
308 Randall Rd
Ste C
Geneva, IL 60134
Phone (331) 732-4370
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
636 Raymond Dr
Ste 107
Naperville, IL 60563
Phone (630) 359-8396
636 Raymond Dr
Ste 300
Naperville, IL 60563
Phone (331) 732-4370
636 Raymond Dr
Naperville, IL 60563
Phone (630) 355-5302
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Internal Medicine
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1942244645
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1083909998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 RAYMOND DR STE 300",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605639792",
"telephone_number": "331-732-4370",
"fax_number": "331-732-4375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 RAYMOND DR STE 300",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605639792",
"telephone_number": "331-732-4370",
"fax_number": "331-732-4375"
}
],
"practiceLocations": [
{
"address_1": "2015 N Main St",
"address_purpose": "LOCATION",
"city": "Wheaton",
"state": "IL",
"postal_code": "601873152",
"country_code": "US",
"telephone_number": "630-668-8250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDREOLI",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-20",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036137966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.