Individual provider Active NPI

Michael S Leininger, PA PHYSICIAN ASST

  • Physician Assistant
  • Joliet, IL
National Provider Identifier
1235147257
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085002266 Issued in IL
Practice address
333 N Madison St
Joliet, IL 60435
Phone
(815) 725-7133
Fax
(815) 773-7859
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085002266 IL Primary

Addresses

Primary practice location

333 N Madison St
Joliet, IL 60435

Mailing address

2650 Warrenville Rd
Suite 280
Downers Grove, IL 60515
Phone (630) 324-7911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050512000307 IL Practitioner - Physician Assistant 4880634575 Reassigns benefits to 1 organization
I20231026001844 WI Practitioner - Physician Assistant 4880634575 Reassigns benefits to 1 organization
I20260407000902 IA Practitioner - Physician Assistant 4880634575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Surgery Associates SCGroup PAC ID 2860304102, 44 clinicians

Practice addresses (Care Compare)

3 Eire CT
Oak Park, IL 60302-2519
Phone (708) 763-6477

3815 Highland Ave
Downers Grove, IL 60515-1500
Phone (630) 275-1318

801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-3083

Hospital & facility affiliations

  • Edward Hospital Hospital, Naperville, IL, CCN 140231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Agnesian Healthcare Inc CurrentSince Sep 12, 2023 Accepting new patients
Cardiac Surgery Associates SC CurrentSince Aug 1, 2004 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Agnesian Healthcare Inc CurrentSince Sep 12, 2023 Accepting new patients
Agnesian Healthcare, Inc Past Accepting new patients

Locations

880 W Central Rd
Ste 7100
Arlington Hts, IL 60005
Phone (847) 392-7810

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

3000 N Halsted St
Ste 606
Chicago, IL 60657
Phone (773) 296-3700

2900 N Lake Shore Dr
Ste 904
Chicago, IL 60657

7447 W Talcott Ave
Ste 512
Chicago, IL 60631
Phone (773) 237-8722

2650 Warrenville Rd
Ste 280
Downers Grove, IL 60515
Phone (630) 324-7920

3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900

133 E Brush Hill Rd
Ste 200
Elmhurst, IL 60126

800 Austin St
Ste 557
Evanston, IL 60202
Phone (847) 316-4455

301 Madison St
Ste 280
Joliet, IL 60435
Phone (630) 324-7915

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

301 Madison St
Ste 308
Joliet, IL 60435
Phone (815) 207-6161

801 S Washington St
Fl 4
Naperville, IL 60540
Phone (630) 416-8500

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

1875 W Dempster St
Ste 410
Park Ridge, IL 60068
Phone (847) 318-9595

2560 24th St
Ste 201
Rock Island, IL 61201
Phone (309) 779-3111

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

1405 W Park St
Ste 303
Urbana, IL 61801
Phone (217) 337-2924

420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400

Interoperability endpoints

  • Direct secure messaging: mleininger244768@direct.unitypoint.org
  • Direct secure messaging: mleininger129082@direct.edward.org

Organizations & group practices 6

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 1

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1235147257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 WARRENVILLE RD",
            "address_2": "SUITE 280",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "630-324-7911",
            "fax_number": "630-324-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N MADISON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "815-725-7133",
            "fax_number": "815-773-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEININGER",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "PA PHYSICIAN ASST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085002266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.