NPIMap

Individual provider Active NPI

Michael Dunleavy, DO

  • Family Medicine Physician
  • Bartlett, IL
National Provider Identifier
1811927239
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-081145 Issued in IL
Practice address
1041 W Stearns Rd
Bartlett, IL 60103-4509
Phone
(630) 716-7500
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 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 036-081145 IL Primary

Addresses

Primary practice location

1041 W Stearns Rd
Bartlett, IL 60103-4509

Mailing address

1041 W Stearns Rd
Bartlett, IL 60103-4509
Phone (630) 716-7500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.dunleavy.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
I20100820000538 IL Practitioner - Family Practice 2466586847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians

Practice addresses (Care Compare)

1041 W Stearns Rd
Bartlett, IL 60103-4509
Phone (630) 716-7500

1786 Moon Lake Blvd
Hoffman Est, IL 60194-5029
Phone (847) 755-8208

Hospital & facility affiliations

  • Astra Health West Home health agency, Elgin, IL, CCN 148172
  • Alexian Brothers Home Health Home health agency, Hanover Park, IL, CCN 147583
  • Vitas Healthcare Corporation of Illinois Hospice, Lombard, IL, CCN 141514
  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-081145ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bonaventure Medical Foundation, LLC Family Medicine CurrentSince Dec 1, 2013 Accepting new patients

Locations

1041 W Stearns Rd
Bartlett, IL 60103
Phone (630) 372-9015

1515 E Lake St
Hanover Park, IL 60133
Phone (630) 483-3200

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

190 W Irving Park Rd
Wood Dale, IL 60191
Phone (630) 766-0412

Interoperability endpoints

  • Direct secure messaging: michael.dunleavy.1@380.direct.athenahealth.com

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 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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1811927239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 W STEARNS RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034509",
            "telephone_number": "630-716-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 W STEARNS RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034509",
            "telephone_number": "630-716-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLEAVY",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-081145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.dunleavy.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1041 W Stearns Rd",
            "city": "Bartlett",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601034509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

Verify at the official NPI Registry.