Individual provider Active NPI

Michael Peplow, D.O.

  • Internal Medicine Physician
  • Elk Grove Village, IL
National Provider Identifier
1851607634
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036131367 Issued in IL
Practice address
800 Biesterfield Rd Ste 605
Elk Grove Village, IL 60007-3362
Phone
(847) 364-6724
NPI assigned
Aug 31, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036131367 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd Ste 605
Elk Grove Village, IL 60007-3362

Mailing address

800 Biesterfield Rd Ste 605
Elk Grove Village, IL 60007-3362
Phone (847) 364-6724

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.peplow.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: 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
I20130724000438 IL Practitioner - Internal Medicine 3779724364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians

Practice addresses (Care Compare)

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

361 W Golf Rd
Schaumburg, IL 60195-3607
Phone (847) 952-7447

800 Biesterfield Rd
Elk Grove Village, IL 60007-3362

Hospital & facility affiliations

  • Alexian Brothers Home Health Home health agency, Hanover Park, IL, CCN 147583
  • Family Home Health Services, Inc Home health agency, Addison, IL, CCN 147712
  • Astra Health West Home health agency, Elgin, IL, CCN 148172
  • Carelink Home Health, LLC Home health agency, Schaumburg, IL, CCN 148016
  • Center of Illinois Home Healthcare, Inc Home health agency, Arlington Heights, IL, CCN 148212
  • Guardian Healthcare & Hospice, LLC Hospice, Northfield, IL, CCN 141630
  • Alexian Brothers Hospice Hospice, Hanover Park, IL, CCN 141632
  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Encore Village Nursing home, Schaumburg, IL, CCN 145341
  • Lutheran Home for the Aged Nursing home, Arlington HTS, IL, CCN 145739

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036131367ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bonaventure Medical Foundation, LLC CurrentSince Aug 1, 2013 Accepting new patients

Locations

800 Biesterfield Rd
Ste 605
Elk Grove Vlg, IL 60007
Phone (847) 364-6724

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.peplow.3@380.direct.athenahealth.com
  • Direct secure messaging: michael.peplow.1@380.direct.athenahealth.com

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.

FacilityTypeRoleSince
Encore VillageSchaumburg, IL, CCN 145341 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 28, 2023
Dec 28, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1851607634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 605",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073362",
            "telephone_number": "847-364-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 605",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073362",
            "telephone_number": "847-364-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPLOW",
        "first_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-31",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036131367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.peplow.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "800 Biesterfield Rd Ste 605",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600073362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.