Individual provider Active NPI

Michelle Renee Murray-Clark, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Chicago, IL
National Provider Identifier
1295780153
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
016-005209 Issued in IL
Practice address
225 W Washington St
Chicago, IL 60606-2418
Phone
(800) 841-5200
Fax
(847) 504-5015
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2011018233 MO
Primary Podiatric Medicine Podiatrist 213EP1101X 016-005209 IL Primary
Podiatrist 213E00000X 1957 TX

Addresses

Primary practice location

225 W Washington St
Chicago, IL 60606-2418

Mailing address

225 W Washington St Ste 1500
Chicago, IL 60606-3485
Phone (800) 841-5200

Other identifiers 6

IdentifierTypeStateIssuer
320181602MedicaidTX
320181601MedicaidTX
320181603MedicaidTX
016005209MedicaidIL
1295780153MedicaidMO
0732240001OtherDMERC # WITH PPG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO, IA, CO, AZ, GA, TN7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20060525000009 IL Practitioner - Podiatry 7113982729 Reassigns benefits to 1 organization
I20130426000311 MO Practitioner - Podiatry 7113982729 Reassigns benefits to 1 organization
I20230317002405 IA Practitioner - Podiatry 7113982729 Reassigns benefits to 1 organization
I20230329001534 CO Practitioner - Podiatry 7113982729 Reassigns benefits to 1 organization
I20230417001389 AZ Practitioner - Podiatry 7113982729 Reassigns benefits to 1 organization
I20230714001873 GA Practitioner - Podiatry 7113982729 Reassigns benefits to 1 organization
I20241015002768 TN Practitioner - Podiatry 7113982729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

1000 E Howard St
Creston, IA 50801-2723
Phone (641) 782-5012

1000 Patterson St
Anderson, MO 64831-7327
Phone (417) 845-3351

1007 E Columbia St
Litchfield, IL 62056-2707
Phone (217) 324-1900

101 N Hickory
Hickory Estates of Pana
Pana, IL 62557-1000
Phone (217) 562-2022

1201 N Alton St
Lebanon Care Center
Lebanon, IL 62254-1103
Phone (618) 537-4401

1330 Sidney Ave
Sterling, CO 80751-2241
Phone (970) 522-4888

1463 Benchmark Court
Swansea, IL 62226-2026
Phone (618) 624-0683

1635 N Baltimore Ave
Mount Zion, IL 62549-1086
Phone (217) 864-1073

1650 N Santa Rosa Ave
Tucson, AZ 85712-4039
Phone (520) 795-1610

1821 Anderson Ave NW
Atlanta, GA 30314-1835
Phone (847) 504-5000

2034 E Clear Lake Ave
Springfield, IL 62703-1167
Phone (217) 522-8843

2509 Frank Watson Pkwy
Highland, IL 62249-0029
Phone (618) 651-4444

3900 Sullivan Dr
Swansea, IL 62226-7397
Phone (618) 234-8910

438 N Water Ave
Gallatin, TN 37066-2306
Phone (615) 452-2322

512 S Franklin St
Bunker Hill, IL 62014-1462
Phone (618) 585-4875

700 Weber Rd
O Fallon, IL 62269-2215
Phone (618) 624-6000

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue3880
Removal or shaving of skin growth1237

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016-005209ILMDPrimary Podiatric Medicine Podiatrist
938TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Foot Care Group LLC Podiatrist Current Accepting new patients
Affiliated Fan Podiatry PC Podiatrist Past Accepting new patients
Foot Surgery Center LLC Past Accepting new patients
Preferred Podiatry Group PC Podiatrist Past Accepting new patients
Ambulatory Foot & Ankle Center, P.C. Podiatrist Past Accepting new patients
Willowbrook Podiatry Inc Podiatrist Past Accepting new patients

Organizations & group practices 7

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1295780153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W WASHINGTON ST STE 1500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063485",
            "telephone_number": "800-841-5200",
            "fax_number": "847-504-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W WASHINGTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606062418",
            "telephone_number": "800-841-5200",
            "fax_number": "847-504-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY-CLARK",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "2011018233",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016-005209",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320181602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320181601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320181603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005209",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295780153",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC # WITH PPG",
            "identifier": "0732240001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.