Individual provider Active NPI

Michael Rachman, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Schaumburg, IL
National Provider Identifier
1255340097
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
036094879 Issued in IL
Practice address
1375 E Schaumburg Road
Suite 260
Schaumburg, IL 60194-3658
Phone
(847) 895-4540
NPI assigned
Aug 7, 2006
Last updated
Oct 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 036094879 IL Primary

Addresses

Primary practice location

1375 E Schaumburg Road
Suite 260
Schaumburg, IL 60194-3658

Mailing address

1375 E Schaumburg Road
Suite 260
Schaumburg, IL 60194-3658
Phone (847) 895-4540

Other identifiers 1

IdentifierTypeStateIssuer
04508317OtherILBLUE CROSS BLUE SHIELD

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
I20041101000903 IL Practitioner - Psychiatry 6608838727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Proactive Behavioral Services, IncGroup PAC ID 7618048950, 5 clinicians

Practice addresses (Care Compare)

215 N Main St
Algonquin, IL 60102-2570
Phone (224) 678-9033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036094879ILMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Behavioral Services, Inc. CurrentSince Jan 1, 2009 Accepting new patients
Unified Therapeutics LLC Past Accepting new patients
Lifecore SC Past Accepting new patients
Eric H Lamb LCSW PC Past Accepting new patients

Locations

215 N Main St
Algonquin, IL 60102
Phone (224) 678-9033

1644 W Colonial Pkwy
Inverness, IL 60067
Phone (847) 359-6200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1255340097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 E SCHAUMBURG ROAD",
            "address_2": "SUITE 260",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943658",
            "telephone_number": "847-895-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 E SCHAUMBURG ROAD",
            "address_2": "SUITE 260",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943658",
            "telephone_number": "847-895-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHMAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "IL",
            "license": "036094879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04508317",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.