Active NPI
Michael A Covlin, M.D.
- Obstetrics & Gynecology Physician
- Marion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036114761
- Practice address
- 3408 Office Park Dr
Marion, IL 62959-6477 - Phone
- (618) 997-5266
- Fax
- (618) 997-5285
- NPI assigned
- May 1, 2006
- Last updated
- Dec 27, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036114761 | IL | Primary |
Addresses
Primary practice location
3408 Office Park Dr
Marion, IL 62959-6477
Mailing address
3408 Office Park Dr
Marion, IL 62959-6477
Phone (618) 997-5266
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036114761 | Medicaid | IL | |
| 208042001 | Other | IL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of North Dakota School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1170 Fortune Blvd
Shiloh, IL 62269-7358
Phone (618) 997-5266
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036114761 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Women's Healthcare LTD | Current | Accepting new patients | |
| Heartland Women's Healthcare Mo PC | Current | Accepting new patients | |
| Heartland Women's Healthcare Mo PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Illinois SC | Obstetrics & Gynecology | Current | Accepting new patients |
| Graham Hospital Association | Current | Accepting new patients | |
| Graham Hospital Association | Current | Accepting new patients | |
| Graham Hospital Association | Current | Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Heartland Women's Healthcare LTD | Obstetrics & Gynecology | Current | Accepting new patients |
| Women's Healthcare Specialists, P.C. | Obstetrics & Gynecology | Past | Accepting new patients |
| Poudre Valley Medical Group, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
180 S Main St
Canton, IL 61520
Phone (309) 647-5240
210 W Walnut St
Canton, IL 61520
Phone (309) 647-5240
900 E Walnut St
Ste 10
Carbondale, IL 62901
811 Fairfax St
Carlyle, IL 62231
Phone (618) 594-3025
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923
3408 Office Park Dr
Marion, IL 62959
Phone (318) 997-5266
1407 McPherson Ave
Mount Vernon, IL 62864
Phone (618) 244-1178
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
3130 Veterans Memorial Dr
Mount Vernon, IL 62864
Phone (708) 736-1727
3230 Veterans Memorial Dr
Mount Vernon, IL 62864
705 S Grand St
Nashville, IL 62263
Phone (618) 327-2200
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
1170 Fortune Blvd
Shiloh, IL 62269
Phone (844) 872-6249
1197 Fortune Blvd
Shiloh, IL 62269
1197 Fortune Blvd
Ste 1
Shiloh, IL 62269
Phone (877) 456-2496
6 Park Pl
Swansea, IL 62226
Phone (618) 233-0522
1271 Wentzville Pkwy
Wentzville, MO 63385
Phone (844) 872-6249
Interoperability endpoints
- covlinm@yourcarecommunity.org
- michael.covlin.1@21608.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Obstetrics & Gynecology Physician
- Marion, IL
- NPI 1851307532
-
- Critical Access Hospital
- Canton, IL
- NPI 1780692087
-
- Obstetrics & Gynecology Physician
- Berwyn, IL
- NPI 1700107216
-
dba SSM Health Medical Group
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Wentzville, MO
- NPI 1588191431
-
dba Knox & Fulton County Wound and Hyperbaric Medicine
- Internal Medicine Physician
- Galesburg, IL
- NPI 1710845854
-
dba Graham Medical Group Lewistown
- Rural Health Clinic/Center
- Lewistown, IL
- NPI 1750527172
-
- Clinical Medical Laboratory
- Swansea, IL
- NPI 1043852932
-
- Rural Health Clinic/Center
- Poplar Bluff, MO
- NPI 1356849616
-
dba Women's Care of Southern Illinois
- Obstetrics & Gynecology Physician
- Belleville, IL
- NPI 1023186079
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
Obstetrics & Gynecology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1780641852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3408 OFFICE PARK DR",
"city": "MARION",
"state": "IL",
"postal_code": "629596477",
"telephone_number": "618-997-5266",
"fax_number": "618-997-5285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3408 OFFICE PARK DR",
"city": "MARION",
"state": "IL",
"postal_code": "629596477",
"telephone_number": "618-997-5266",
"fax_number": "618-997-5285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVLIN",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036114761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036114761",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "208042001",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.