Active NPI
Elias Murciano, M.D.
- Family Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036107113
- Practice address
- 3924 W Fullerton Ave
Chicago, IL 60647-2228 - Phone
- (773) 276-2229
- Fax
- (773) 276-2190
- NPI assigned
- Nov 28, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036107113 | IL | Primary |
Addresses
Primary practice location
3924 W Fullerton Ave
Chicago, IL 60647-2228
Mailing address
1431 N Western Ave
Suite #406
Chicago, IL 60622-1797
Phone (312) 633-5841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036107113 | Medicaid | 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1127 N Oakley Blvd
FL 2
Chicago, IL 60622-3507
Phone (312) 491-5495
1431 N Western Ave
Suite 401
Chicago, IL 60622-1797
Phone (312) 491-5495
1431 N Western Ave
Suite 406
Chicago, IL 60622-1774
Phone (312) 491-5495
3924 W Fullerton Ave
Chicago, IL 60647-2228
Phone (312) 491-5495
5635 W Belmont Ave
Chicago, IL 60634-4384
Phone (773) 736-1830
Hospital & facility affiliations
- Presence Saints Mary and Elizabeth Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036107113 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primecare Community Health Inc | Current | Accepting new patients | |
| Primecare Community Health, Inc. | Family Medicine | Current | Accepting new patients |
| Primecare Community Health, Inc. | Family Medicine | Current | Accepting new patients |
| Primecare Community Health, Inc. | Family Medicine | Current | Accepting new patients |
| Primecare Community Health, Inc. | Family Medicine | Past | Accepting new patients |
| Primecare Community Health Inc. | Past | Accepting new patients | |
| Primecare Community Health Inc | Past | Accepting new patients |
Locations
1431 N Western Ave
Ste 406
Chicago, IL 60622
Phone (312) 491-5495
3924 W Fullerton Ave
Chicago, IL 60647
Phone (773) 276-2229
1431 N Western Ave
Ste 209
Chicago, IL 60622
Phone (312) 491-5435
1431 N Western Ave
Ste 202
Chicago, IL 60622
Phone (773) 276-2272
1431 N Western Ave
Ste 401
Chicago, IL 60622
Phone (312) 633-5841
5635 W Belmont Ave
Chicago, IL 60634
Phone (773) 736-1830
1127 N Oakley Blvd
Fl 2
Chicago, IL 60622
Phone (312) 633-5841
Interoperability endpoints
- elias.murciano.1@16494.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1558532739
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1891541215
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1225010911
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1356622500
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1700230398
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1790247476
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1992851067
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1265270607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1568445112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 N WESTERN AVE",
"address_2": "SUITE #406",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606221797",
"telephone_number": "312-633-5841",
"fax_number": "312-491-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3924 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606472228",
"telephone_number": "773-276-2229",
"fax_number": "773-276-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURCIANO",
"first_name": "ELIAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-28",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036107113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036107113",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.