Michael Castaneda

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209021107 Issued in IL

Practice address

1875 Dempster St Ste 110
Park Ridge, IL 60068-1125

Phone

(847) 897-9010

NPI assigned

Jun 16, 2020

Last updated

Jun 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiac Vision LLCGroup PAC ID 6800192519, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Merit-based Incentive Payment System (MIPS)

Final score

66.51 of 100Reported as group

Quality

10

Improvement activities

40

Cost

75.05

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cardiac Vision LLC

  • Cardiovascular Disease Physician
  • Chicago, IL
  • NPI 1275990707
  Medicare reassignment Care Compare group NPD
• Advanced Medical Practices SC

  • Internal Medicine Physician
  • Park Ridge, IL
  • NPI 1629266788
  Medicare reassignment NPD
• Merchant Adams LLC

  • Nurse Practitioner
  • Park Ridge, IL
  • NPI 1437731478
  Medicare reassignment NPD
• Northshore Medical Practice LTD

  • Internal Medicine Physician
  • Niles, IL
  • NPI 1548308364
  Medicare reassignment NPD
• Prima Medical Practices Inc

  • Family Medicine Physician
  • Park Ridge, IL
  • NPI 1295332104
  Medicare reassignment NPD
• Vitality Medical Care LLC

  • Family Nurse Practitioner
  • Mount Prospect, IL
  • NPI 1073340030
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Community Hospital

  dba Endeavor Health Northwest Community Hospital

  • General Acute Care Hospital
  • Arlington Heights, IL
  • NPI 1578932869
  Care Compare affiliation
• Northwest Community Hospital

  dba Endeavor Health Northwest Community Hospital

  • General Acute Care Hospital
  • Arlington Heights, IL
  • NPI 1770531600
  Care Compare affiliation

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1114543055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 W ROSEVIEW DR",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141856",
            "telephone_number": "847-910-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST STE 110",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681125",
            "telephone_number": "847-897-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Casey, PSYD
• Nathan Cash, LCPC
• Francis A. Casper, M.D.
• Joy Andrus Casper, P.T.
• Linda Castaneda, DO
• Anthony A. Castelli, M.D.
• Annalis Elizabeth Castillo, ACPNP
• John Joseph Castino, LCSW, CADC
• Elliana Castro, LSW
• Marian Catalano, FNP-BC

• Family Nurse Practitioner in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.

Verify at the official NPI Registry.