Individual provider Active NPI

Michael S Hohlastos, D.O.

  • Emergency Medicine Physician
  • Dekalb, IL
National Provider Identifier
1376743914
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036081745 Issued in IL
Practice address
1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone
(815) 748-2972
Fax
(815) 748-2978
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036081745 IL Primary
Emergency Medicine Physician 207P00000X 76923 WI

Addresses

Primary practice location

1 Kish Hospital Dr
Dekalb, IL 60115-9602

Mailing address

1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 748-2972

Other practice location 1

800 Riverside Dr
Waupaca, WI 54981-1943
Phone (715) 258-1000

Other identifiers 1

IdentifierTypeStateIssuer
036117448MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070824000855 IL Practitioner - Emergency Medicine 5294827945 Reassigns benefits to 3 organizations
I20231204001340 WI Practitioner - Emergency Medicine 5294827945 Reassigns benefits to 11 organizations
I20250715000596 IA Practitioner - Emergency Medicine 5294827945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Nova Southeastern College of Osteo Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Wisconsin Emergency Associates SCGroup PAC ID 3274561055, 47 clinicians
Swea Fort SCGroup PAC ID 0345774972, 51 clinicians

Practice addresses (Care Compare)

1969 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-5566

5605 E Rockton Rd
Roscoe, IL 61073-7601
Phone (815) 525-4100

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-5475

Hospital & facility affiliations

  • Jackson County Regional Health Center Hospital, Maquoketa, IA, CCN 161329
  • Fort Memorial Hospital Hospital, Fort Atkinson, WI, CCN 520071
  • Valley West Community Hospital Hospital, Sandwich, IL, CCN 141340
  • Thedacare Medical Center - New London Hospital, New London, WI, CCN 521326
  • Beloit Health System Hospital, Beloit, WI, CCN 520100

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
69.34 of 100Reported as group
Quality
87.81
Promoting interoperability
100
Improvement activities
40
Cost
10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1208ALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thedacare Medical Center - New London, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Oct 24, 2025 Accepting new patients
Richard S Veiga MD SC Current Accepting new patients
Southern Wisconsin Emergency Associates SC Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Illinois Emergency Medicine Specialists, LLC CurrentSince Nov 1, 2012 Accepting new patients
Thedacare Medical Center - New London, Inc. CurrentSince Oct 24, 2025 Accepting new patients
Edgerton Hospital and Health Services, Inc CurrentSince Oct 1, 2025 Accepting new patients
Swea Fort SC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Oct 24, 2025 Accepting new patients
Jackson County Public Hospital Current Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Oct 24, 2025 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Emergency Medicine CurrentSince Oct 24, 2025 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Oct 24, 2025 Accepting new patients
Edgerton Hospital and Health Services Inc. CurrentSince Oct 1, 2025 Accepting new patients
Insight Chicago, Inc. CurrentSince Mar 10, 2025 Accepting new patients
Insight Chicago, Inc. CurrentSince Mar 10, 2025 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Oct 24, 2025 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Thedacare Medical Center - New London, Inc CurrentSince Oct 24, 2025 Accepting new patients
Emergency Healthcare Physicians, LTD. Past Accepting new patients
Kishwaukee Community Hospital Past Accepting new patients

Locations

601 Hospital Dr
Maquoketa, IA 52060
Phone (563) 652-2474

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

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

5605 E Rockton Rd
Roscoe, IL 61073
Phone (815) 525-4000

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

Interoperability endpoints

  • Direct secure messaging: mhohlastos504478@direct-ehr-ssmhc.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1376743914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KISH HOSPITAL DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159602",
            "telephone_number": "815-748-2972",
            "fax_number": "815-748-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KISH HOSPITAL DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159602",
            "telephone_number": "815-748-2972",
            "fax_number": "815-748-2978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549811943",
            "country_code": "US",
            "telephone_number": "715-258-1000",
            "fax_number": "715-258-1153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOHLASTOS",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036081745",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "76923",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036117448",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.