Individual provider Active NPI

Mason Wayne Milburn, M.D

  • Orthopaedic Surgery Physician
  • Chicago, IL
National Provider Identifier
1861588352
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036125204 Issued in IL
Practice address
1500 S Fairfield Ave
Chicago, IL 60608
Phone
(773) 257-6663
NPI assigned
Oct 4, 2006
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 036125204 IL
Orthopaedic Surgery Physician 207X00000X 036125204 IL Primary

Addresses

Primary practice location

1500 S Fairfield Ave
Chicago, IL 60608

Mailing address

909 S Madison St
Hinsdale, IL 60521-4370
Phone (414) 232-8034

Other practice location 1

1900 W Polk St
Chicago, IL 60612-3723
Phone (312) 864-6000

Other practice location 2

3021 N Sheffield Ave
Chicago, IL 60657-4419
Phone (872) 843-0550

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mmilburn@direct.ccprovider.org Direct Cook County
Direct Messaging Address mmilburn379828@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20100629000975 IL Practitioner - Orthopedic Surgery 6507997830 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Tennessee, HSC, College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians

Practice addresses (Care Compare)

1401 S California Ave
Chicago, IL 60608-1858
Phone (773) 522-6656

1435 W Webster Ave
Chicago, IL 60614-3049
Phone (630) 368-1771

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

3021 N Sheffield Ave
Chicago, IL 60657-4419
Phone (872) 843-0550

3134 N Clark St
Chicago, IL 60657-4414
Phone (773) 296-5420

836 W Wellington
Suite G346
Chicago, IL 60657-5147
Phone (773) 296-7147

836 W Wellington Ave
Chicago, IL 60657-5147

California Ave at 15TH St
Chicago, IL 60608-1858
Phone (773) 542-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Medical Group CurrentSince Mar 1, 2018 Accepting new patients
Mount Sinai Community Foundation CurrentSince Apr 14, 2010 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 28, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 28, 2023 Accepting new patients
Cook County Current Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Cook County CurrentSince Jul 22, 2014 Accepting new patients
Cook County CurrentSince Jul 22, 2014 Accepting new patients
Mount Sinai Community Foundation CurrentSince Apr 14, 2010 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

2300 S 1st St
Champaign, IL 61820
Phone (217) 383-9400

1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701

1900 W Polk St
Chicago, IL 60612
Phone (312) 864-0060

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

29373 Network Pl
Chicago, IL 60673

3021 N Sheffield Ave
Chicago, IL 60657
Phone (773) 296-7450

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: mmilburnmd252953@carlehiedirect.net

Organizations & group practices 11

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 3

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1861588352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S MADISON ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214370",
            "telephone_number": "414-232-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S FAIRFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60608",
            "telephone_number": "773-257-6663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 W Polk St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123723",
            "country_code": "US",
            "telephone_number": "312-864-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3021 N Sheffield Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606574419",
            "country_code": "US",
            "telephone_number": "872-843-0550",
            "fax_number": "872-873-9070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILBURN",
        "first_name": "MASON",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "IL",
            "license": "036125204",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036125204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmilburn@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmilburn379828@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3021 N Sheffield Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606574419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3021 N Sheffield Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606574419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.