Individual provider Active NPI

Melissa Mary Musec, M.D.

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1093072274
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.140663 Issued in IL
Practice address
5730 W Roosevelt Rd
Chicago, IL 60644-1580
Phone
(773) 413-1700
Fax
(773) 413-1765
NPI assigned
Apr 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036.140663 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5730 W Roosevelt Rd
Chicago, IL 60644-1580

Mailing address

5730 W Roosevelt Rd
Chicago, IL 60644-1580
Phone (773) 413-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160901002553 IL Practitioner - Psychiatry 6507156460 Reassigns benefits to 5 organizations
I20220119000213 MI Practitioner - Internal Medicine 6507156460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.140663ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elemental Center LTD. Psychiatry CurrentSince Jul 30, 2018 Accepting new patients
Illinois Post-Acute Medical Services 1 PC CurrentSince Nov 27, 2018 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Aug 1, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
Uhs of Hartgrove, Inc. Psychiatry CurrentSince Aug 8, 2016 Accepting new patients
Uhs of Hartgrove, Inc Psychiatry CurrentSince Aug 8, 2016 Accepting new patients
Michigan Post-Acute Medical Services 1 PC CurrentSince Oct 1, 2021 Accepting new patients
Mi Pacs 2 PC CurrentSince Oct 1, 2021 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

5730 W Roosevelt Rd
Chicago, IL 60644
Phone (773) 413-1700

2829 S California Ave
Chicago, IL 60608
Phone (646) 431-0013

1323 Butterfield Rd
Ste 116
Downers Grove, IL 60515
Phone (331) 330-9955

600 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 325-9630

1055 E Grand Ave
Lindenhurst, IL 60046
Phone (847) 356-4559

1666 Checker Rd
Long Grove, IL 60047
Phone (847) 419-1111

6930 W Touhy Ave
Niles, IL 60714
Phone (847) 588-5311

14484 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 741-2325

612 W Saint Marys Rd
Sterling, IL 61081
Phone (815) 626-9020

22600 W Main St
Armada, MI 48005
Phone (734) 508-4569

12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200

555 Highland Ave
Milford, MI 48381
Phone (248) 684-1564

625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715

Organizations & group practices 8

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": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1093072274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606441580",
            "telephone_number": "773-413-1700",
            "fax_number": "773-413-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606441580",
            "telephone_number": "773-413-1700",
            "fax_number": "773-413-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSEC",
        "first_name": "MELISSA",
        "middle_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.140663",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.