Individual provider Active NPI

Mark Miller, MD

  • Allergy Physician
  • Hoffman Estates, IL
National Provider Identifier
1508894585
Registry record updated Dec 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
036080141 Issued in IL
Practice address
1000 Grand Canyon Pkwy Ste 301
Hoffman Estates, IL 60169-1732
Phone
(847) 352-2822
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 036080141 IL Primary

Addresses

Primary practice location

1000 Grand Canyon Pkwy Ste 301
Hoffman Estates, IL 60169-1732

Mailing address

1000 Grand Canyon Pkwy Ste 301
Hoffman Estates, IL 60169-1732
Phone (847) 352-2822

Other identifiers 1

IdentifierTypeStateIssuer
036080141MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmiller251028@direct.myadvocateaurora.org Direct

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
I20080419000000 IL Practitioner - Allergy/Immunology 0840378659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Northwestern University Feinberg Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Grand Canyon Pkwy
Suite 301
Hoffman Estates, IL 60169-1732
Phone (847) 352-2824

Merit-based Incentive Payment System (MIPS)

Final score
96.14 of 100Reported as apm
Quality
88.29
Promoting interoperability
98.25
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Allergists LTD. Allergy CurrentSince Sep 9, 2003 Accepting new patients

Locations

1000 Grand Canyon Pkwy
Ste 301
Hoffman Estates, IL 60169
Phone (847) 352-2822

290 N Rand Rd
Ste A
Lake Zurich, IL 60047
Phone (847) 438-2454

241 Golf Mill Ctr
Ste 8
Niles, IL 60714
Phone (708) 298-5151

455 S Roselle Rd
Ste 206
Schaumburg, IL 60193
Phone (847) 352-2822

Interoperability endpoints

  • Direct secure messaging: mmiller251028@direct.myadvocateaurora.org

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640476800000",
    "number": "1508894585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GRAND CANYON PKWY STE 301",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691732",
            "telephone_number": "847-352-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GRAND CANYON PKWY STE 301",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691732",
            "telephone_number": "847-352-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IL",
            "license": "036080141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036080141",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmiller251028@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 Grand Canyon Pkwy Ste 301",
            "city": "Hoffman Estates",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601691732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.