John D. Mikuzis, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

036077741 Issued in IL

Practice address

850 Brook Forest Ave
Unit F
Shorewood, IL 60404-8513

Phone

(815) 725-4918

Fax

(815) 725-4955

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Physical Medicine and Rehabilitation

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trio Health Medical Il Physiatry Partners PLLCGroup PAC ID 5496251779, 8 clinicians

CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations (25 of 65)

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.

• CMC Healthcare LLC

  • Nurse Practitioner
  • Evanston, IL
  • NPI 1295432334

  IL

  Medicare reassignment Care Compare group NPD
• Trio Health Medical Il Physiatry Partners PLLC

  • Physical Medicine & Rehabilitation Physician
  • Evanston, IL
  • NPI 1306728928

  IL, Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD
• Integrated Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1528379195

  IL, Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• NGX Illinois SC

  • Physical Medicine & Rehabilitation Physician
  • New Lenox, IL
  • NPI 1194438515

  IL, Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• Action Therapy Services, LTD.

  • Physical Therapist
  • Shorewood, IL
  • NPI 1518071190
  NPD (past) Authorized official
• NGX Illinois SC

  • Physical Medicine & Rehabilitation Physician
  • Aurora, IL
  • NPI 1922887686

  Physical Medicine & Rehabilitation

  NPD
• Integrated Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Baltimore, MD
  • NPI 1316829146

  Physical Medicine & Rehabilitation

  NPD
• Nextpain Medical PA

  • Pain Medicine Physician
  • Lawrenceville, GA
  • NPI 1295564334
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1629048178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BROOK FOREST AVE",
            "address_2": "UNIT F",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048513",
            "telephone_number": "815-725-4918",
            "fax_number": "815-725-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BROOK FOREST AVE",
            "address_2": "UNIT F",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048513",
            "telephone_number": "815-725-4918",
            "fax_number": "815-725-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKUZIS",
        "first_name": "JOHN",
        "middle_name": "D.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036077741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "4521533",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "158372300",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036077741",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn E Meyer, MS, RD, LDN
• Michael W Hanley DC Co
• Emily Michel, NP
• Midwest Upper Cervical
• Leigh Ann Miesner Hargreave, RDH
• Alisandra Militello
• Ayezah Mir, M.D.
• Sidharth Mohan, MSD, BDS, BS
• Nancy A. Moore, CPNP
• Nathan Allen Moore, RBT

• All providers in Shorewood, IL
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.

Verify at the official NPI Registry.