Individual provider Active NPI

Michelle Trandai, M.D.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1497704092
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Practice address
4753 N Elston Ave
Mayfair Healthcare Center
Chicago, IL 60630-4002
Phone
(773) 205-7200
Fax
(773) 481-7577
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X IL Primary

Addresses

Primary practice location

4753 N Elston Ave
Mayfair Healthcare Center
Chicago, IL 60630-4002

Mailing address

4753 N Elston Ave
Mayfair Healthcare Center
Chicago, IL 60630-4002
Phone (773) 205-7200

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
I20050614001353 IL Practitioner - Obstetrics/Gynecology 6305880980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broadway Medical Office S CGroup PAC ID 1456395037, 2 clinicians
Thorek Memorial HospitalGroup PAC ID 4981593399, 49 clinicians

Practice addresses (Care Compare)

5449 N Broadway St
Chicago, IL 60640-1703
Phone (773) 878-4800

840 W Irving Park Rd
Suite 305
Chicago, IL 60613-3011
Phone (773) 975-6775

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.04 of 100Reported as group
Quality
53.2
Promoting interoperability
89
Improvement activities
40
Cost
76.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-091174ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thorek Memorial Hospital CurrentSince Oct 5, 2016 Accepting new patients
Broadway Medical Office S C Obstetrics & Gynecology CurrentSince Mar 1, 2015 Accepting new patients
Thorek Memorial Hospital CurrentSince Oct 5, 2016 Accepting new patients

Locations

5449 N Broadway St
Chicago, IL 60640
Phone (773) 878-1009

840 W Irving Park Rd
#305
Chicago, IL 60613
Phone (773) 447-0200

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1497704092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4753 N ELSTON AVE",
            "address_2": "MAYFAIR HEALTHCARE CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304002",
            "telephone_number": "773-205-7200",
            "fax_number": "773-481-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 N ELSTON AVE",
            "address_2": "MAYFAIR HEALTHCARE CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304002",
            "telephone_number": "773-205-7200",
            "fax_number": "773-481-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANDAI",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.