Individual provider Active NPI

Michael Minieka, M.D.

  • Neurology Physician
  • Chicago, IL
National Provider Identifier
1295732857
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036073398 Issued in IL
Practice address
737 N Michigan Ave Ste 700
Chicago, IL 60611-6662
Phone
(312) 926-3731
Fax
(312) 926-3709
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036073398 IL Primary

Addresses

Primary practice location

737 N Michigan Ave Ste 700
Chicago, IL 60611-6662

Mailing address

737 N Michigan Ave Ste 700
Chicago, IL 60611-6662
Phone (312) 337-6960

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
I20031222000679 IL Practitioner - Neurology 5698673135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

737 N Michigan Ave
Chicago, IL 60611-2615
Phone (847) 582-2104

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036073398ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Nov 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Nov 1, 2024 Accepting new patients
Central Dupage Physician Group Past Accepting new patients
John P Gerber MD, SC Past Accepting new patients
Philip K McCullough MD SC Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

737 N Michigan Ave
Chicago, IL 60611
Phone (312) 255-0110

737 N Michigan Ave
Ste 700
Chicago, IL 60611
Phone (312) 337-6960

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

1310 N Main St
Ste 1
Sandwich, IL 60548
Phone (815) 786-8470

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.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1295732857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE STE 700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116662",
            "telephone_number": "312-337-6960",
            "fax_number": "312-337-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE STE 700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116662",
            "telephone_number": "312-926-3731",
            "fax_number": "312-926-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINIEKA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036073398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.