Individual provider Active NPI

Alexander Eugene Michalow, MD

  • Orthopaedic Surgery Physician
  • Bradley, IL
National Provider Identifier
1891703609
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
3679997 Issued in IL
Practice address
400 S Kennedy Dr
Bradley, IL 60915-2682
Phone
(815) 928-8050
Fax
(800) 505-2218
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 3679997 IL Primary

Addresses

Primary practice location

400 S Kennedy Dr
Bradley, IL 60915-2682

Mailing address

400 S Kennedy Dr
Bradley, IL 60915-2682
Phone (815) 928-8050

Other identifiers 1

IdentifierTypeStateIssuer
36079997MedicaidIL

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
I20070221000019 IL Practitioner - Orthopedic Surgery 2163326216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rush Medical College of Rush University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Bone and Joint Institute, LLCGroup PAC ID 6002814878, 603 clinicians

Practice addresses (Care Compare)

19552 S Harlem Ave
Frankfort, IL 60423-6733
Phone (815) 469-3453

200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-5841

2101 Waukegan Rd
Bannockburn, IL 60015-1836

500 W Court St
Kankakee, IL 60901-3661
Phone (815) 937-2400

6712 N Convent St
Bourbonnais, IL 60914-1528
Phone (815) 928-8050

Hospital & facility affiliations

  • Aspire Home Healthcare, LLC Home health agency, Morton Grove, IL, CCN 148139
  • Prime Healthcare Home Care and Hospice, LLC Home health agency, Kankakee, IL, CCN 147105
  • Iroquois Memorial Hospital Hospital, Watseka, IL, CCN 141353
  • Presence St Marys Hospital Hospital, Kankakee, IL, CCN 140155
  • Riverside Medical Center Hospital, Kankakee, IL, CCN 140186
  • Prairieview Lutheran Home Nursing home, Danforth, IL, CCN 145953

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement13
Knee replacement44
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3679997ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute LLC Orthopaedic Surgery CurrentSince Mar 1, 2020 Accepting new patients
Illinois Bone and Joint Institute, LLC Orthopaedic Surgery CurrentSince Mar 1, 2020 Accepting new patients
Oak ASC, LLC Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

6712 N Convent St
Bourbonnais, IL 60914
Phone (815) 348-9500

6712 N Convent St
Ste 200
Bourbonnais, IL 60914
Phone (815) 348-9500

400 S Kennedy Dr
Ste 100
Bradley, IL 60915
Phone (815) 928-8050

400 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-8050

5057 Paysphere Cir
Chicago, IL 60674

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

19552 S Harlem Ave
Frankfort, IL 60423
Phone (815) 464-3525

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

Interoperability endpoints

  • Direct secure messaging: alexander.michalow.1@15486.direct.athenahealth.com

Organizations & group practices 4

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 6

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1891703609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S KENNEDY DR",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609152682",
            "telephone_number": "815-928-8050",
            "fax_number": "800-505-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S KENNEDY DR",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609152682",
            "telephone_number": "815-928-8050",
            "fax_number": "800-505-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALOW",
        "first_name": "ALEXANDER",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "3679997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36079997",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradley, IL

Sources for this page

Verify at the official NPI Registry.