Michael Mesirow, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.006505 Issued in IL

Practice address

2550 Oak Park Ave
Berwyn, IL 60402-4661

Phone

(708) 575-6757

NPI assigned

Apr 5, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

53.64 of 100Reported as group

Quality

20.75

Promoting interoperability

100

Improvement activities

0

Cost

74.72

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: mmesirow1@directaddress.net

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.

• Your Healthcare Source PLLC

  • Urgent Care Clinic/Center
  • Libertyville, IL
  • NPI 1811740046
  Medicare reassignment

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1487150629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 PADDOCK LN",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483733",
            "telephone_number": "773-504-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604024661",
            "telephone_number": "708-575-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESIROW",
        "first_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.006505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia M Mercado
• Alina Merrill, DO
• Amelia M Merz, MD
• Chanel Mesch, FNP
• Jennifer Mesick
• Metropolitan Advanced Radiological Services, LTD.
• Metropolitan Dental
• Metropolitan Dental
• William Charles Meyer, MA LCPC
• Veronika Meyster, RD, LDN

• Physician Assistant in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.