Individual provider Active NPI

Corey Wheelock, MD

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
National Provider Identifier
1639795669
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
125078145 Issued in IL
Practice address
1401 S California Ave Ste 1
Chicago, IL 60608-1694
Phone
(773) 565-3008
Fax
(773) 522-5855
NPI assigned
Jun 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2020017706 MO
Physical Medicine & Rehabilitation Physician 208100000X 125078145 IL Primary

Addresses

Primary practice location

1401 S California Ave Ste 1
Chicago, IL 60608-1694

Mailing address

1 Hospital Dr # Dc043.00
Columbia, MO 65212-1000
Phone (573) 884-1606

Other practice location 1

1 Hospital Dr # Dc043.00
Columbia, MO 65212-1000
Phone (573) 884-1606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240702002741 IN Practitioner - Physical Medicine and Rehabilitation 1951725589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Minnesota Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Point Orthopedics LLCGroup PAC ID 5597018523, 17 clinicians

Practice addresses (Care Compare)

9445 Calumet Ave
Munster, IN 46321-2811
Phone (219) 836-1060

Hospital & facility affiliations

  • Community Hospital Hospital, Munster, IN, CCN 150125

Merit-based Incentive Payment System (MIPS)

Final score
73.78 of 100Reported as group
Quality
53.01
Promoting interoperability
99
Improvement activities
40
Cost
60.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125078145ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Rehabilitation Care, LLC Physical Medicine & Rehabilitation CurrentSince Sep 8, 2024 Accepting new patients
North Point Orthopedics LLC CurrentSince Aug 1, 2024 Accepting new patients
Community Care Network Inc Internal Medicine PastSince Aug 1, 2024 Accepting new patients

Locations

1401 S California Ave
Ste 1
Chicago, IL 60608
Phone (773) 565-3008

9445 Calumet Ave
Munster, IN 46321
Phone (219) 836-1060

Interoperability endpoints

  • Direct secure messaging: cwheelock140241@uihealth.direct-ci.com

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 1

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1639795669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR # DC043.00",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652121000",
            "telephone_number": "573-884-1606",
            "fax_number": "573-884-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S CALIFORNIA AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081694",
            "telephone_number": "773-565-3008",
            "fax_number": "773-522-5855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Dr # Dc043.00",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652121000",
            "country_code": "US",
            "telephone_number": "573-884-1606",
            "fax_number": "573-884-4533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELOCK",
        "first_name": "COREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2020017706",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "125078145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.