Individual provider Active NPI

Michael Andrew Paul, M.D.

  • Pediatric Cardiology Physician
  • Hoffman Estates, IL
National Provider Identifier
1093998874
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
036-112557 Issued in IL
Practice address
1555 Barrington Rd
Dob #1, Suite 430
Hoffman Estates, IL 60169-1019
Phone
(847) 884-1212
NPI assigned
Dec 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036-112557 IL
Pediatric Cardiology Physician 2080P0202X 036-112557 IL Primary

Addresses

Primary practice location

1555 Barrington Rd
Dob #1, Suite 430
Hoffman Estates, IL 60169-1019

Mailing address

1555 Barrington Rd
Dob #1, Suite 430
Hoffman Estates, IL 60169-1019
Phone (847) 884-1212

Other practice location 1

4100 Healthway Dr
Aurora, IL 60504-4163
Phone (708) 684-5580

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mpaul206603@direct.myadvocateaurora.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160624001978 IL Practitioner - Pediatric Medicine 7517258379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Chicago, Pritzker School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, shared by 39 NPIs, 3,081 clinicians

Practice addresses (Care Compare)

4100 Healthway Dr
Aurora, IL 60504-4163
Phone (630) 851-3105

4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-4393

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-112557ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Jul 25, 2016 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2022 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Jul 25, 2016 Accepting new patients
Midwest Children'S Heart Specialists, S.C. Past Accepting new patients

Locations

4100 Healthway Dr
Aurora, IL 60504
Phone (630) 851-3105

2357 Sequoia Dr
Aurora, IL 60506
Phone (630) 859-6700

4050 Healthway Dr
Ste 220
Aurora, IL 60504
Phone (708) 425-7337

1221 N Highland Ave
Aurora, IL 60506
Phone (630) 859-6700

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

28594 Network Pl
Chicago, IL 60673

29373 Network Pl
Chicago, IL 60673

1555 N Barrington Rd
Ste 430
Hoffman Estates, IL 60169
Phone (847) 884-1212

1555 N Barrington Rd
Ste 315
Hoffman Estates, IL 60169
Phone (847) 843-7066

4847 Hoffman Blvd
Hoffman Estates, IL 60192
Phone (847) 318-9330

825 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-1393

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

3310 W Main St
Ste 200
St Charles, IL 60175
Phone (630) 897-6044

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1093998874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD",
            "address_2": "DOB #1, SUITE 430",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691019",
            "telephone_number": "847-884-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD",
            "address_2": "DOB #1, SUITE 430",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691019",
            "telephone_number": "847-884-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Healthway Dr",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605044163",
            "country_code": "US",
            "telephone_number": "708-684-5580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-14",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-112557",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IL",
            "license": "036-112557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpaul206603@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "4100 Healthway Dr",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605044163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4100 Healthway Dr",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605044163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.