Individual provider Active NPI

Patrick B Massey, M.D, PHD

  • Physical Medicine & Rehabilitation Physician
  • Elk Grove Village, IL
National Provider Identifier
1801966999
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Practice address
1544 Nerge Rd
Elk Grove Village, IL 60007-3673
Phone
(847) 923-0046
Fax
(847) 923-0047
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL
Physical Medicine & Rehabilitation Physician 208100000X IL Primary
Pain Medicine Physician 208VP0000X IL

Addresses

Primary practice location

1544 Nerge Rd
Elk Grove Village, IL 60007-3673

Mailing address

1544 Nerge Rd
Elk Grove Village, IL 60007-3673
Phone (847) 923-0046

Other identifiers 1

IdentifierTypeStateIssuer
01635922OtherILBLUE CROSS BLUE SHIELD

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
I20070313000047 IL Practitioner - Physical Medicine and RehabilitationPractitioner - Internal MedicinePractitioner - Interventional Pain Management 1658473020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Internal Medicine, Interventional Pain Management
Education
Rush Medical College of Rush University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1544 Nerge Rd
Elk Grove Village, IL 60007-3673

473 W Army Trail Rd
Suite 101
Bloomingdale, IL 60108-2674
Phone (847) 923-0046

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036076500ILMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alt-Med Research Group Physical Medicine & Rehabilitation CurrentSince Apr 1, 2001 Accepting new patients

Locations

473 W Army Trail Rd
Ste 101
Bloomingdale, IL 60108
Phone (630) 894-8018

1544 Nerge Rd
Elk Grove Vlg, IL 60007
Phone (847) 923-0046

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1801966999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 NERGE RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073673",
            "telephone_number": "847-923-0046",
            "fax_number": "847-923-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 NERGE RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073673",
            "telephone_number": "847-923-0046",
            "fax_number": "847-923-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "PATRICK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01635922",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.