Individual provider Active NPI

Michele C Carney, MD

  • Obstetrics & Gynecology Physician
  • Naperville, IL
National Provider Identifier
1750371340
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036103394 Issued in IL
Practice address
608 S Washington St Ste 204
Naperville, IL 60540-6675
Phone
(630) 348-3080
Fax
(630) 646-5648
NPI assigned
Oct 25, 2005
Last updated
May 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036103394 IL Primary

Addresses

Primary practice location

608 S Washington St Ste 204
Naperville, IL 60540-6675

Mailing address

300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 653-4240

Other practice location 1

300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 653-4240

Other identifiers 1

IdentifierTypeStateIssuer
036103394 1MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mcarney120437@direct.edward.org
Direct Messaging Address mcarney120437@dulyhealthandcare.direct-ci.com

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
I20090723000011 IL Practitioner - Obstetrics/Gynecology 2860544764 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036103394ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Jul 1, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 15, 2023 Accepting new patients
Endeavor Health Medical Group Obstetrics & Gynecology Current Accepting new patients
Central Dupage Physician Group CurrentSince Jul 1, 2024 Accepting new patients
Mobile Anesthesiologists Chicago LLC PastSince Feb 14, 2021 Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009

1220 Hobson Rd
Ste 116
Naperville, IL 60540
Phone (630) 416-3300

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Interoperability endpoints

  • Direct secure messaging: mcarney120437@direct.edward.org
  • Direct secure messaging: mcarney120437@dulyhealthandcare.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1750371340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RANDALL RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344200",
            "telephone_number": "630-653-4240",
            "fax_number": "630-938-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 S WASHINGTON ST STE 204",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406675",
            "telephone_number": "630-348-3080",
            "fax_number": "630-646-5648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Randall Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601344200",
            "country_code": "US",
            "telephone_number": "630-653-4240",
            "fax_number": "630-938-9190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "MICHELE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036103394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103394 1",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcarney120437@direct.edward.org",
            "affiliation": "N",
            "address_1": "608 S Washington St Ste 204",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcarney120437@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "608 S Washington St Ste 204",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.