Individual provider Active NPI

Mary K Morrell, M.D.

  • Orthopaedic Trauma Physician
  • Elk Grove Village, IL
National Provider Identifier
1467452318
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
Practice address
901 Biesterfield Rd
Suite 300
Elk Grove Village, IL 60007-3392
Phone
(847) 437-9889
Fax
(847) 437-4149
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X IL Primary

Addresses

Primary practice location

901 Biesterfield Rd
Suite 300
Elk Grove Village, IL 60007-3392

Mailing address

PO Box 807
Elk Grove Village, IL 60009-0807
Phone (847) 437-9889

Other identifiers 1

IdentifierTypeStateIssuer
31603457OtherILBLUE CROSS BLUE SHIELD

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
I20050809000874 IL Practitioner - Orthopedic Surgery 3476582586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of Ny Upstate Medical University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

901 Biesterfield Rd
Suite 300
Elk Grove Village, IL 60007-7324
Phone (847) 437-9889

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036089596ILMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD. Orthopaedic Trauma CurrentSince Sep 1, 2005 Accepting new patients
Midwest Sports Medicine & Orthopedic Surgical Specialists Past Accepting new patients
Midwest Sports Medicine & Orthopedic Surgical Specialists, LTD Past Accepting new patients
Midwest Sports Medicine & Orthopedic Surgical Specialists, LTD Past Accepting new patients

Locations

901 Biesterfield Rd
Ste 306
Elk Grove Vlg, IL 60007
Phone (847) 437-1230

901 Biesterfield Rd
Ste 300
Elk Grove Vlg, IL 60007
Phone (847) 437-9889

901 Biesterfield Rd
Ste 101
Elk Grove Vlg, IL 60007
Phone (630) 999-8227

975 E Nerge Rd
Ste N
Roselle, IL 60172

Interoperability endpoints

  • Direct secure messaging: mmorrell@mwsmortho.exscribedirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1467452318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 807",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600090807",
            "telephone_number": "847-437-9889",
            "fax_number": "847-437-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BIESTERFIELD RD",
            "address_2": "SUITE 300",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073392",
            "telephone_number": "847-437-9889",
            "fax_number": "847-437-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRELL",
        "first_name": "MARY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31603457",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.