Individual provider Active NPI

Michael A Covlin, M.D.

  • Obstetrics & Gynecology Physician
  • Marion, IL
National Provider Identifier
1780641852
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036114761 Issued in IL
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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 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

IdentifierTypeStateIssuer
036114761MedicaidIL
208042001OtherILMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051222000475 IL Practitioner - Obstetrics/Gynecology 1557327095 Reassigns benefits to 4 organizations
I20181018001082 MO Practitioner - Obstetrics/Gynecology 1557327095 Reassigns benefits to 1 organization

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
Heartland Women's Healthcare LTDGroup PAC ID 1759270648, 29 clinicians

Practice addresses (Care Compare)

1170 Fortune Blvd
Shiloh, IL 62269-7358
Phone (618) 997-5266

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036114761ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Women's Healthcare LTD CurrentSince Aug 1, 2009 Accepting new patients
Heartland Women's Healthcare Mo PC CurrentSince Sep 8, 2018 Accepting new patients
Heartland Women's Healthcare Mo PC Obstetrics & Gynecology CurrentSince Sep 8, 2018 Accepting new patients
Obhg Illinois SC Obstetrics & Gynecology CurrentSince Aug 17, 2024 Accepting new patients
Graham Hospital Association CurrentSince Oct 1, 2020 Accepting new patients
Graham Hospital Association CurrentSince Oct 1, 2020 Accepting new patients
Graham Hospital Association Current Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Obstetrics & Gynecology CurrentSince Jan 2, 2013 Accepting new patients
Heartland Women's Healthcare LTD Obstetrics & Gynecology CurrentSince Aug 1, 2009 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

  • Direct secure messaging: covlinm@yourcarecommunity.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.