Active NPI
Michael J McDermott, DPM
- Podiatrist
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016004034
- Practice address
- 14532 John Humphrey Dr
Orland Park, IL 60462-2640 - Phone
- (708) 403-1611
- Fax
- (708) 403-1650
- NPI assigned
- May 10, 2006
- Last updated
- Dec 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016004034 | IL | Primary |
Addresses
Primary practice location
14532 John Humphrey Dr
Orland Park, IL 60462-2640
Mailing address
14532 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 403-1611
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60101286 | Other | BLUE CROSS | |
| 363863248 | Other | IL | MEDICARE |
| 363863248 | Other | IL | EDI |
| IL4307 | Other | IL | MEDICARE PTAN |
| 016004034 | Medicaid | IL | |
| 363863248 | Other | IL | BLUE CROSS BLUE SHIELD OF IL |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14532 John Humphrey Dr
Orland Park, IL 60462-2640
Phone (708) 403-1611
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.9 of 100
- Quality
- 87.09
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 94 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 460 |
| Removal or shaving of skin growth | 162 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016004034 | IL | MD | Podiatrist |
Interoperability endpoints
- michael@mcdermott.direct.emds.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba McDermott Podiatry of Joliet
- Foot & Ankle Surgery Podiatrist
- Orland Park, IL
- NPI 1598068850
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
dba Silver Cross Hospital
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1538119987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14532 JOHN HUMPHREY DR",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "60462",
"telephone_number": "708-403-1611",
"fax_number": "708-403-1650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14532 JOHN HUMPHREY DR",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622640",
"telephone_number": "708-403-1611",
"fax_number": "708-403-1650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDERMOTT",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016004034",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "60101286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "363863248",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDI",
"identifier": "363863248",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IL4307",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016004034",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF IL",
"identifier": "363863248",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
- Maureen Anne McConville
- Joyce McCullough, OTR
- Lori Ann McCurdy, DT
- McDermott Podiatry of Joliet PC (McDermott Podiatry of Joliet)
- Tracy Ann McDermott Trevino, APRN, FNP-C
- Catherine Ann McDoniel, D.O.
- Kristin McErlean, M.S. CCC-SLP
- Rochelle J McGhee, M.A., L.C.P.C.
- Cathleen M McGovern, DO
- Kelly McGowan, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.