Active NPI
Michael J Plunkett, MD
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036047714
- Practice address
- 7447 W Talcott Ave Ste 182
Chicago, IL 60631-3712 - Phone
- (773) 925-1557
- Fax
- (773) 594-7975
- NPI assigned
- Aug 8, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036047714 | IL | Primary |
Addresses
Primary practice location
7447 W Talcott Ave Ste 182
Chicago, IL 60631-3712
Mailing address
7447 W Talcott Ave Ste 182
Chicago, IL 60631-3712
Phone (773) 791-5155
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-047714 | Medicaid | IL | |
| L82753 | Other | IL | MEDICARE OTHER |
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
- Internal Medicine
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N River Rd
Des Plaines, IL 60016-1209
Phone (847) 297-1800
7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 774-8000
Hospital & facility affiliations
- Reliance Home Health Care, Inc
- Amita Health Resurrection Medical Center
- Saint Francis Hospital-Evanston
- Northshore University Healthsystem - Evanston Hospital
- Swedish Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Illinois Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Viking Medical Group, LLP. | Internal Medicine | Past | Accepting new patients |
Locations
1801 W Olympic Blvd
#2636
Pasadena, CA 91199
1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756
100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780
7447 W Talcott Ave
Ste 1
Chicago, IL 60631
Phone (773) 774-0042
7447 W Talcott Ave
Ste 182
Chicago, IL 60631
Phone (773) 594-7875
100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800
201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350
Organizations & group practices 2
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
- Des Plaines, IL
- NPI 1023837689
Internal Medicine
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1467506493
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- Home Health Agency
- Rolling Meadows, IL
- NPI 1588723654
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1811735228
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1144230756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7447 W TALCOTT AVE STE 182",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313712",
"telephone_number": "773-791-5155",
"fax_number": "773-792-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7447 W TALCOTT AVE STE 182",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313712",
"telephone_number": "773-925-1557",
"fax_number": "773-594-7975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUNKETT",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036047714",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-047714",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OTHER",
"identifier": "L82753",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.