Active NPI
Hellmuth Ricardo Muller Moran, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Chicago, IL
National Provider Identifier
1174208466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 036166012
- Practice address
- 676 North Saint Clair Street
Arkes Family Pavillion, Suite 730
Chicago, IL 60611 - Phone
- (312) 664-3278
- NPI assigned
- Jun 15, 2023
- Last updated
- Nov 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036166012 | IL | Primary |
Addresses
Primary practice location
676 North Saint Clair Street
Arkes Family Pavillion, Suite 730
Chicago, IL 60611
Mailing address
676 North Saint Clair Street
Arkes Family Pavillion, Suite 730
Chicago, IL 60611
Phone (312) 926-5136
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231206001590 | IL | Practitioner - Thoracic Surgery | 6507215381 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1174208466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 NORTH SAINT CLAIR STREET",
"address_2": "ARKES FAMILY PAVILLION, SUITE 730",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-926-5136",
"fax_number": "312-695-1903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 NORTH SAINT CLAIR STREET",
"address_2": "ARKES FAMILY PAVILLION, SUITE 730",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-664-3278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLER MORAN",
"first_name": "HELLMUTH",
"middle_name": "RICARDO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-15",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IL",
"license": "036166012",
"primary": true
}
],
"identifiers": [],
"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 Nov 27, 2023; 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.