Active NPI
Jason R Michaels, MD
- Pain Medicine (Anesthesiology) Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 036145873
- Practice address
- 701 N 1St St
Springfield, IL 62702-3757 - Phone
- (217) 545-0182
- Fax
- (217) 545-4735
- NPI assigned
- Jun 29, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036-145873 | IL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036145873 | IL | Primary |
Addresses
Primary practice location
701 N 1St St
Springfield, IL 62702-3757
Mailing address
611 W. Park St
Fapc
Urbana, IL 61801
Other practice location 1
1111 Trinity Ln Ste 111
Bloomington, IL 61704-8112
Phone (309) 663-6461
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Southern Illinois University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-145873 | IL | MD | Anesthesiology Physician |
| 036145873 | IL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Carle Health Care Incorporated | Anesthesiology | Current | Accepting new patients |
| Carle Eureka Hospital | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
1111 Trinity Ln
Ste 111
Bloomington, IL 61704
Phone (309) 663-6461
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
3310 Fields South Dr
Champaign, IL 61822
Phone (217) 417-2352
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- jmichaelsmd322997@carlehiedirect.net
Organizations & group practices 4
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.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Anesthesiology
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
dba Advocate Eureka Hospital
- Critical Access Hospital
- Eureka, IL
- NPI 1184644023
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate BroMenn Medical Center
- General Acute Care Hospital
- Normal, IL
- NPI 1962424036
-
dba Advocate Eureka Hospital
- Critical Access Hospital
- Eureka, IL
- NPI 1184644023
-
dba OSF Saint Joseph Medical Center
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1679988521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W. PARK ST",
"address_2": "FAPC",
"city": "URBANA",
"state": "IL",
"postal_code": "61801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N 1ST ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627023757",
"telephone_number": "217-545-0182",
"fax_number": "217-545-4735"
}
],
"practiceLocations": [
{
"address_1": "1111 Trinity Ln Ste 111",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IL",
"postal_code": "617048112",
"country_code": "US",
"telephone_number": "309-663-6461",
"fax_number": "309-663-5711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHAELS",
"first_name": "JASON",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-29",
"last_updated": "2021-10-27",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036-145873",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036145873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.