Individual provider Active NPI

Michael L Seigle, MD

  • Ophthalmology Physician
  • Elgin, IL
National Provider Identifier
1639166259
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036077317 Issued in IL
Practice address
1670 Capital Street
Suite 100
Elgin, IL 60124-7837
Phone
(847) 888-2020
Fax
(847) 888-0652
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036077317 IL Primary

Addresses

Primary practice location

1670 Capital Street
Suite 100
Elgin, IL 60124-7837

Mailing address

1670 Capital Street
Suite 100
Elgin, IL 60124-7837
Phone (847) 888-2020

Other identifiers 1

IdentifierTypeStateIssuer
036077317MedicaidIL

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Direct@OphthalmologyAssociatesElginIL.CompulinkDirect.com Direct
Direct Messaging Address Direct@OphthalmologyAssociatesElginIL.CompulinkDirect.com Direct
Direct Messaging Address mseigle287574@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20100816000120 IL Practitioner - Ophthalmology 2466407226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Chicago College of Medicine and Surgery, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Associates, LTDGroup PAC ID 9133173438, 4 clinicians

Practice addresses (Care Compare)

1670 Capital St
Suite 100
Elgin, IL 60124-7837
Phone (847) 888-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036077317ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Associates LTD Ophthalmology CurrentSince Apr 1, 1994 Accepting new patients

Locations

1670 Capital St
Elgin, IL 60124

901 Center St
Ste 104
Elgin, IL 60120
Phone (847) 888-2020

1670 Capital St
Ste 100
Elgin, IL 60124
Phone (847) 888-2020

Interoperability endpoints

  • Direct secure messaging: mseigle287574@direct.myadvocateaurora.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1639166259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 CAPITAL STREET",
            "address_2": "SUITE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601247837",
            "telephone_number": "847-888-2020",
            "fax_number": "847-888-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 CAPITAL STREET",
            "address_2": "SUITE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601247837",
            "telephone_number": "847-888-2020",
            "fax_number": "847-888-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIGLE",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036077317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036077317",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@OphthalmologyAssociatesElginIL.CompulinkDirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1670 Capital Street",
            "address_2": "Suite 100",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601247837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@OphthalmologyAssociatesElginIL.CompulinkDirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1670 Capital Street",
            "address_2": "Suite 100",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601247837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mseigle287574@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1670 Capital Street",
            "address_2": "Suite 100",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601247837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1670 Capital Street",
            "address_2": "Suite 100",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601247837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.