NPIMap

Individual provider Active NPI

Michael Brooks, DO

  • Family Medicine Physician
  • Clarendon Hills, IL
National Provider Identifier
1801844311
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36107404 Issued in IL
Practice address
99 Park Ave
Clarendon Hills, IL 60514-1494
Phone
(630) 455-7000
Fax
(630) 455-7001
NPI assigned
May 5, 2006
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36107404 IL Primary

Addresses

Primary practice location

99 Park Ave
Clarendon Hills, IL 60514-1494

Mailing address

99 Park Ave
Ste 102
Clarendon Hills, IL 60514-1492
Phone (630) 455-7000

Other identifiers 1

IdentifierTypeStateIssuer
036107404MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.brooks.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225000747 IL Practitioner - Family Practice 1153217237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000

396 Remington Blvd
Bolingbrook, IL 60440-4311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36107404ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc Family Medicine CurrentSince Oct 1, 2005 Accepting new patients
Adventist Health Partners,Inc CurrentSince Oct 1, 2005 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Health Partners,Inc Family Medicine Past Accepting new patients
Adventist Health Partners, Inc Past Accepting new patients
Bonaventure Medical Foundation, LLC Family Medicine Past Accepting new patients
Adventist Midwest Health Past Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

560 Belmont Ln
Carol Stream, IL 60188
Phone (630) 588-9789

99 Park Ave
Ste 102
Clarendon Hls, IL 60514
Phone (630) 308-2460

701 Winthrop Ave
Glendale Hts, IL 60139
Phone (630) 312-2000

333 W Chestnut St
Ste 105
Hinsdale, IL 60521
Phone (630) 789-0250

911 N Elm St
Ste 301
Hinsdale, IL 60521
Phone (630) 856-8650

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Interoperability endpoints

  • Direct secure messaging: mbrooks1240496@adventhealth.direct-ci.com
  • Direct secure messaging: michael.brooks.1@380.direct.athenahealth.com

Organizations & group practices 7

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 10

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1801844311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 PARK AVE",
            "address_2": "STE 102",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141492",
            "telephone_number": "630-455-7000",
            "fax_number": "630-455-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 PARK AVE",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141494",
            "telephone_number": "630-455-7000",
            "fax_number": "630-455-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36107404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107404",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.brooks.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "99 Park Ave",
            "city": "Clarendon Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605141494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarendon Hills, IL

Sources for this page

Verify at the official NPI Registry.