NPIMap

Individual provider Active NPI

Michael Herzog, M.D.

  • Urology Physician
  • Orland Park, IL
National Provider Identifier
1639197957
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036107343 Issued in IL
Practice address
15234 S Harlem Ave
Orland Park, IL 60462-4330
Phone
(708) 888-8287
Fax
(708) 614-0607
NPI assigned
Jul 17, 2006
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036107343 IL Primary

Addresses

Primary practice location

15234 S Harlem Ave
Orland Park, IL 60462-4330

Mailing address

15234 S Harlem Ave
Orland Park, IL 60462-4330
Phone (708) 888-8287

Other identifiers 1

IdentifierTypeStateIssuer
036107343MedicaidIL

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address mherzog276094@direct.myadvocateaurora.org Direct
Direct Messaging Address michaelherzog@uropart.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050311000492 IL Practitioner - UrologyPractitioner - General Practice 7719931757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Rush Medical College of Rush University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uropartners LLCGroup PAC ID 9436182946, 133 clinicians

Practice addresses (Care Compare)

1003 Pawlak Pkwy
New Lenox, IL 60451-9403
Phone (815) 717-1740

12251 S 80TH Ave
Palos Heights, IL 60463-1256
Phone (708) 923-4000

12251 S 80TH St
Palos Heights, IL 60463-1256
Phone (708) 923-4000

15234 S Harlem Ave
Orland Park, IL 60462-4330
Phone (708) 425-0112

2225 Enterprise Dr
Suite 2511
Westchester, IL 60154-5805
Phone (708) 486-0076

2245 Enterprise Dr
Suite 4506
Westchester, IL 60154-5803

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uropartners LLC Urology Current Accepting new patients
United Shockwave Services, LTD. CurrentSince Jul 3, 2002 Accepting new patients
Uropartners, LLC Urology CurrentSince Nov 1, 2023 Accepting new patients
United Shockwave Services, LTD. Urology Current Accepting new patients
Uropartners, LLC Urology CurrentSince Nov 1, 2023 Accepting new patients
United Shockwave Services, LTD. Urology CurrentSince Jul 3, 2002 Accepting new patients
Uropartners, LLC Urology Past Accepting new patients

Locations

10400 Southwest Hwy
Chicago Ridge, IL 60415
Phone (708) 423-8706

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

15234 S Harlem Ave
Orland Park, IL 60462
Phone (708) 532-6500

1875 W Dempster St
Ste G04
Park Ridge, IL 60068
Phone (630) 684-9361

6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222

2225 Enterprise Dr
Ste 2511
Westchester, IL 60154
Phone (708) 486-0076

2245 Enterprise Dr
Ste 4506
Westchester, IL 60154

815 Pasquinelli Dr
Westmont, IL 60559
Phone (630) 366-7854

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Interoperability endpoints

  • Direct secure messaging: mherzog276094@direct.myadvocateaurora.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1639197957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15234 S HARLEM AVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624330",
            "telephone_number": "708-888-8287",
            "fax_number": "708-614-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15234 S HARLEM AVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624330",
            "telephone_number": "708-888-8287",
            "fax_number": "708-614-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036107343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107343",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "16522 S.106 Court",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mherzog276094@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16522 S.106 Court",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaelherzog@uropart.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "15234 S Harlem Ave",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604624330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.