Individual provider Active NPI

Patrick Macauley, D.C.

  • Chiropractor
  • Springfield, IL
National Provider Identifier
1366988867
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013061 Issued in IL
Practice address
1000 S Durkin Dr
Springfield, IL 62704-1318
Phone
(217) 726-0422
NPI assigned
Jan 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013061 IL Primary

Addresses

Primary practice location

1000 S Durkin Dr
Springfield, IL 62704-1318

Mailing address

1000 S Durkin Dr
Springfield, IL 62704-1318
Phone (217) 726-0422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170120002303 IL Practitioner - Chiropractic 2163704446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silveri Chiropractic IncGroup PAC ID 2961400494, 3 clinicians

Practice addresses (Care Compare)

1000 S Durkin Dr
Springfield, IL 62704-1318
Phone (217) 726-0422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Silveri Chiropractic Inc. Chiropractor CurrentSince Jan 9, 2017 Accepting new patients

Locations

1000 S Durkin Dr
Springfield, IL 62704
Phone (217) 726-0422

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1366988867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S DURKIN DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041318",
            "telephone_number": "217-726-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S DURKIN DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041318",
            "telephone_number": "217-726-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAULEY",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.