Active NPI
Michael Dennis Amer
- Neonatal-Perinatal Medicine Physician
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 036069170
- Practice address
- 2650 Ridge Ave
Division of Neonatology, Walgreen BLDG RM 1505
Evanston, IL 60201-1718 - Phone
- (847) 570-2033
- Fax
- (847) 570-0231
- NPI assigned
- Oct 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036069170 | IL | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 036069170 | IL | Primary |
Addresses
Primary practice location
2650 Ridge Ave
Division of Neonatology, Walgreen BLDG RM 1505
Evanston, IL 60201-1718
Mailing address
2650 Ridge Ave
Division of Neonatology, Walgreen BLDG RM 1505
Evanston, IL 60201-1718
Phone (847) 570-2033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036069170 | Medicaid | IL | |
| 1620385 | Other | IL | BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mamer6789@direct.northshore.org |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036069170 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Covenant Management Services, Inc | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc. | Pediatrics | Current | Accepting new patients |
| Endeavor Health Medical Group | Pediatrics | Past | Accepting new patients |
| Endeavor Health Medical Group | Past | Accepting new patients |
Locations
5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140
2740 W Foster Ave
Ste 310
Chicago, IL 60625
5140 N California Ave
Chicago, IL 60625
Phone (773) 275-8811
Interoperability endpoints
- mamer234771@direct.myadvocateaurora.org
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1760432348
Pediatrics
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1962049551
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1275615353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"address_2": "DIVISION OF NEONATOLOGY, WALGREEN BLDG RM 1505",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011718",
"telephone_number": "847-570-2033",
"fax_number": "847-570-0231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"address_2": "DIVISION OF NEONATOLOGY, WALGREEN BLDG RM 1505",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011718",
"telephone_number": "847-570-2033",
"fax_number": "847-570-0231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMER",
"first_name": "MICHAEL",
"middle_name": "DENNIS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036069170",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "IL",
"license": "036069170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036069170",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1620385",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mamer6789@direct.northshore.org",
"affiliation": "N",
"address_1": "2650 Ridge Ave",
"address_2": "Division of Neonatology, Walgreen Bldg Rm 1505",
"city": "Evanston",
"state": "IL",
"country_code": "US",
"postal_code": "602011718",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.