Individual provider Active NPI

Paul Anthony Meyer, D.O.

  • Family Medicine Physician
  • Niles, IL
National Provider Identifier
1235139619
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-092039 Issued in IL
Practice address
7900 N Milwaukee Ave
Oak Mill Mall Suite 2-23
Niles, IL 60714-3159
Phone
(847) 966-9878
Fax
(847) 213-2057
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-092039 IL Primary

Addresses

Primary practice location

7900 N Milwaukee Ave
Oak Mill Mall Suite 2-23
Niles, IL 60714-3159

Mailing address

7900 N Milwaukee Ave
Oak Mill Mall Suite 2-23
Niles, IL 60714-3159
Phone (847) 966-9878

Other practice location 1

361 W Golf Rd
Schaumburg, IL 60195-3607
Phone (847) 252-6050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paul.meyer.1@380.direct.athenahealth.com

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
I20050204000019 IL Practitioner - Family Practice 3476504085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians
Meyer Family Medicine Associates LLCGroup PAC ID 2860443470, 2 clinicians

Practice addresses (Care Compare)

126 Biesterfield Rd
Elk Grove Village, IL 60007-3657
Phone (847) 981-3500

1786 Moon Lake Blvd
Hoffman Est, IL 60194-5029
Phone (847) 755-8208

7900 N Milwaukee Ave
Suite 2 23
Niles, IL 60714-3159

7900 N Milwaukee Ave
Suite 2 23
Niles, IL 60714-3185
Phone (847) 966-9878

7900 N Milwaukee Ave
Suite 23
Niles, IL 60714-3156

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-092039ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meyer Family Medicine Associates LLC Family Medicine CurrentSince Apr 1, 2001 Accepting new patients
Bonaventure Medical Foundation, LLC Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Journeycare, Inc. Family Medicine CurrentSince May 1, 2013 Accepting new patients
Midwest Palliative & Hospice Carecenter PastSince May 1, 2013 Accepting new patients
Alexian Brothers Corporate Health Services Past Accepting new patients

Locations

7447 W Talcott Ave
Ste 182
Chicago, IL 60631
Phone (773) 594-7875

7447 W Talcott Ave
Ste 1
Chicago, IL 60631
Phone (773) 774-0042

126 Biesterfield Rd
Elk Grove Vlg, IL 60007
Phone (847) 981-3500

2050 Claire Ct
Glenview, IL 60025
Phone (847) 467-7425

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

906 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 467-6023

7900 N Milwaukee Ave
Ste 2-23
Niles, IL 60714
Phone (847) 966-9878

7900 N Milwaukee Ave
Niles, IL 60714
Phone (847) 663-9400

7900 N Milwaukee Ave
Ste 2
Niles, IL 60714
Phone (847) 967-9430

361 W Golf Rd
Schaumburg, IL 60195
Phone (847) 252-6050

190 W Irving Park Rd
Wood Dale, IL 60191
Phone (630) 766-0412

Interoperability endpoints

  • Direct secure messaging: paul.meyer.1@380.direct.athenahealth.com

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1235139619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE",
            "address_2": "OAK MILL MALL SUITE 2-23",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143159",
            "telephone_number": "847-966-9878",
            "fax_number": "847-213-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE",
            "address_2": "OAK MILL MALL SUITE 2-23",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143159",
            "telephone_number": "847-966-9878",
            "fax_number": "847-213-2057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "361 W Golf Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601953607",
            "country_code": "US",
            "telephone_number": "847-252-6050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-092039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paul.meyer.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "361 W Golf Rd",
            "city": "Schaumburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601953607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.