Individual provider Active NPI

Summers Michelle Stacks, M.D.

  • Hospitalist Physician
  • Chicago, IL
National Provider Identifier
1710206784
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036130856 Issued in IL
Practice address
516 S Loomis St
Chicago, IL 60607-2812
Phone
(312) 942-5000
NPI assigned
May 28, 2010
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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 036130856 IL
Hospitalist Physician 208M00000X 036130856 IL Primary

Addresses

Primary practice location

516 S Loomis St
Chicago, IL 60607-2812

Mailing address

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (847) 723-6200

Other practice location 1

1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-6200

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
I20131101001117 IL Practitioner - Internal Medicine 0042445801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RML Health Providers Limited PartnershipGroup PAC ID 2961459565, 11 clinicians

Practice addresses (Care Compare)

5601 S County Line Rd
Hinsdale, IL 60521-4875
Phone (630) 286-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036130856ILMDInternal Medicine Physician
125.057452ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RML Health Providers Limited Partnership CurrentSince Aug 24, 2024 Accepting new patients
Loyola University Medical Center Past Accepting new patients

Locations

3316 Payshere Cir
Chicago, IL 60674

3435 W Van Buren St
Chicago, IL 60624
Phone (773) 265-7700

5601 S County Line Rd
Hinsdale, IL 60521
Phone (630) 286-4000

Organizations & group practices 2

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 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": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1710206784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023429",
            "telephone_number": "847-723-6200",
            "fax_number": "847-696-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S LOOMIS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072812",
            "telephone_number": "312-942-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Dempster St",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600681143",
            "country_code": "US",
            "telephone_number": "847-723-6200",
            "fax_number": "847-696-3391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACKS",
        "first_name": "SUMMERS",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036130856",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036130856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.