Michael Belmont
Individual provider Active NPI Hospitalist Physician · Lake Forest, IL
NPI 1679005227 · NPPES record last updated Jul 23, 2020
Key facts
- NPI
- 1679005227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 036151597 (IL)
- Practice address
- 1000 N Westmoreland Rd
Lake Forest, IL 60045-1658 - Phone
- (847) 234-5600
- Fax
- (847) 535-7203
- NPI assigned
- Apr 3, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Tufts University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwestern Medical Faculty Foundation
Practice addresses (Care Compare)
1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone (847) 234-5600
Hospital & facility affiliations
- Northwestern Lake Forest Hospital
- Northwestern Memorial Hospital
- Northshore University Healthsystem - Evanston Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200518000587 | IL | Practitioner - Hospitalist |
7012288004 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036151597 | IL | MD | Hospitalist Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036151597 | IL | Yes |
Addresses
Primary practice location
1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Mailing address
1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone (847) 234-5600
Other practice location 1
2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 216-4943
Other providers in Lake Forest, IL
- Mohamed Moatez Bayoumi
- Mugurel Valentin Bazavan
- Lisa L Bednar
- Paul Matthew Been
- Deborah Ann Belcore
- John William Benge
- Adam W. Bennett
- Ann Benny Stephen
- Deborah L Berg
- Joyce Ellen Berger
All providers in Lake Forest, IL · Hospitalist Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.