Joseph N Michelotti, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

03655132 Issued in IL

Practice address

350 S 8TH St
West Dundee, IL 60118-2248

Phone

(847) 776-1200

Fax

(847) 776-9400

NPI assigned

Sep 9, 2005

Last updated

May 16, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Elgin Surgeons LTD

  • Surgery Physician
  • West Dundee, IL
  • NPI 1033212014
  NPD (past) Authorized official
• Bonaventure Medical Foundation, LLC

  dba Alexian Brothers Medical Foundation

  • Family Medicine Physician
  • Elk Grove Village, IL
  • NPI 1588775647
  NPD (past)
• DRS Rosenberg & Lambruschi LTD

  dba Valley Plastic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • West Dundee, IL
  • NPI 1225104540
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1639163173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 SHARON DR",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103412",
            "telephone_number": "847-776-1200",
            "fax_number": "847-776-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S 8TH ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182248",
            "telephone_number": "847-776-1200",
            "fax_number": "847-776-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELOTTI",
        "first_name": "JOSEPH",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "03655132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055132",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Masood Iqbal Majeed, D.C.
• Megan Mantilla, LCSW
• Heidi McCullough, LMFT
• MCDR Counseling LLC
• Dana L Mestey-Anson, O.D.
• Thomas Mitchell, DC
• MML Therapy, PLLC
• Mobility Plus LLC
• Mode Quality Services Inc.
• Alexandra Lynn Mooney, PA-C

• Surgery Physician in West Dundee, IL
• Providers in West Dundee, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.