Individual provider Active NPI

David Mehl, M.D.

  • Orthopaedic Surgery Physician
  • Olympia Fields, IL
National Provider Identifier
1588632913
Registry record updated Mar 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036081362 Issued in IL
Practice address
20201 Crawford Ave
Suite 1400
Olympia Fields, IL 60461-1010
Phone
(708) 679-2310
Fax
(708) 503-4445
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036081362 IL Primary

Addresses

Primary practice location

20201 Crawford Ave
Suite 1400
Olympia Fields, IL 60461-1010

Mailing address

1040 Sierra Dr
Suite 400
Greenwood, IN 46143-7240
Phone (317) 528-4800

Other identifiers 2

IdentifierTypeStateIssuer
F400174372OtherILMEDICARE PTAN
036081362MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmehl6002@Direct.FranciscanAlliance.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
I20101008000879 IL Practitioner - Orthopedic Surgery 6204748460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Iowa, RJ & L Carver College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

18408 Governors Hwy
Homewood, IL 60430-2911
Phone (708) 647-0571

18410B Governors Hwy
Homewood, IL 60430-2911
Phone (708) 647-0571

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (844) 740-4445

20201 S Crawford Ave
Suite 1400
Olympia Fields, IL 60461-1010
Phone (708) 379-2310

2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378

3700 W 203Rd St
Olympia Fields, IL 60461-1180
Phone (708) 679-2580

3700 W 203Rd St
Olympia Fields, IL 60461-1182

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement11
Knee replacement23
Lower limb (leg) arthroscopy (minimally invasive joint repair)13
Upper limb (arm) arthroscopy (minimally invasive joint repair)18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036081362ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Illinois, LLC CurrentSince Nov 18, 2002 Accepting new patients
Specialty Physicians of Illinois, LLC Orthopaedic Surgery CurrentSince Nov 18, 2002 Accepting new patients

Locations

35318 Eagle Way
Chicago, IL 60678

333 Dixie Hwy
Chicago Hts, IL 60411
Phone (708) 756-0100

20201 Crawford Ave
Ste 1400
Olympia Fields, IL 60461
Phone (708) 379-2310

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

345 Dixie Hwy
South Chicago Heights, IL 60411
Phone (708) 754-7601

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

Interoperability endpoints

  • Direct secure messaging: dmehl6002@direct.franciscanalliance.org

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 5

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1588632913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SIERRA DR",
            "address_2": "SUITE 400",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437240",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 CRAWFORD AVE",
            "address_2": "SUITE 1400",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611010",
            "telephone_number": "708-679-2310",
            "fax_number": "708-503-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHL",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036081362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F400174372",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081362",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmehl6002@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20201 Crawford Ave",
            "address_2": "Suite 1400",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604611010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.