Active NPI
Michael J. McGrail, M.D.
- Adult Medicine Physician
- Evergreen Park, IL
National Provider Identifier
1831341908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 336082703
- Practice address
- 3860 W 95TH St
Suite 6
Evergreen Park, IL 60805-2034 - Phone
- (708) 425-3900
- Fax
- (708) 425-3939
- NPI assigned
- Oct 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 336082703 | IL | Primary |
Addresses
Primary practice location
3860 W 95TH St
Suite 6
Evergreen Park, IL 60805-2034
Mailing address
3860 W 95TH St
Suite 6
Evergreen Park, IL 60805-2034
Phone (708) 425-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-068995 | Other | IL | STATE LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090521000274 | IL | Practitioner - Geriatric Medicine | 8426107483 | Practice locations: Oak Lawn, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336082703 | IL | MD | Adult Medicine Physician |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| One Home Health LLC | Home health agency | 5% Or Greater Direct Ownership Interest (12%) Operational/Managerial Control |
Jan 1, 2020 Mar 16, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Merrillville, IN
- NPI 1790046795
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1831341908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3860 W 95TH ST",
"address_2": "SUITE 6",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052034",
"telephone_number": "708-425-3900",
"fax_number": "708-425-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3860 W 95TH ST",
"address_2": "SUITE 6",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052034",
"telephone_number": "708-425-3900",
"fax_number": "708-425-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRAIL",
"first_name": "MICHAEL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-21",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "IL",
"license": "336082703",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "036-068995",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.