Active NPI
Manucher Michael Forutan, MD
- Orthopaedic Surgery Physician
- Naperville, IL
National Provider Identifier
1336353671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Practice address
- 600 S Washington St
Suite 300
Naperville, IL 60540-6667 - Phone
- (630) 717-7000
- Fax
- (630) 717-7011
- NPI assigned
- May 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | IL | Primary |
Addresses
Primary practice location
600 S Washington St
Suite 300
Naperville, IL 60540-6667
Mailing address
PO Box 3911
Lisle, IL 60532-8911
Phone (630) 717-7000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC6584 | Other | MEDICARE RR | |
| P00182546 | Other | MEDICARE RR | |
| 4029503 | Other | AETNA |
Other names 1
- M Michael Forutan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036051102 | IL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Michael Forutan MD SC | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Naperville, IL
- NPI 1316055536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336353671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3911",
"city": "LISLE",
"state": "IL",
"postal_code": "605328911",
"telephone_number": "630-717-7000",
"fax_number": "630-717-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S WASHINGTON ST",
"address_2": "SUITE 300",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605406667",
"telephone_number": "630-717-7000",
"fax_number": "630-717-7011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORUTAN",
"first_name": "MANUCHER",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "DC6584",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00182546",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4029503",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "M",
"last_name": "FORUTAN",
"middle_name": "MICHAEL",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.