Dupage Eye Anesthesiology LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

DUPAGE EYE ANESTHESIOLOGY LLC

Practice address

2015 N Main St
Wheaton, IL 60187-3152

Phone

(630) 665-3690

NPI assigned

Jul 18, 2007

Last updated

Aug 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas S Michelson, MDNPI 1992794838

Title

Member

Phone

(630) 668-8250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aisling M. Conran, MD

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1609982586
  Medicare reassignment Care Compare group NPD
• Frank Gentile, M.D.

  • Anesthesiology Physician
  • Crystal Lake, IL
  • NPI 1831157080
  Medicare reassignment Care Compare group NPD
• John Palmieri, M.D.

  • Anesthesiology Physician
  • Winfield, IL
  • NPI 1992864276
  Medicare reassignment Care Compare group NPD
• David Rehn, M.D.

  • Anesthesiology Physician
  • Naperville, IL
  • NPI 1194772582
  Medicare reassignment Care Compare group NPD
• Charles A Tuma, MD

  • Anesthesiology Physician
  • Winfield, IL
  • NPI 1740382035
  Medicare reassignment Care Compare group NPD
• Cancan Ma, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Winfield, IL
  • NPI 1811236904
  Medicare reassignment NPD
• Derrick Anthony Mackavich, D.O.

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1043326317
  Medicare reassignment NPD
• Helene Pardo-Isaac, M.D.

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1093895849
  Medicare reassignment NPD
• Jay F Kiokemeister, D.O.

  • Anesthesiology Physician
  • Venice, FL
  • NPI 1629158472

  IL

  Medicare reassignment NPD
• Thomas S Michelson, MD

  • Ophthalmology Physician
  • Wheaton, IL
  • NPI 1992794838
  NPD Authorized official
• Gassan Mohama, M.D.

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1487848354
  Medicare reassignment
• Michael John Folkerts, CRNA

  • Certified Registered Nurse Anesthetist
  • Batavia, IL
  • NPI 1619303997
  NPD

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1891995916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 N MAIN ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873152",
            "telephone_number": "630-665-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 N MAIN ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873152",
            "telephone_number": "630-665-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE EYE ANESTHESIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "MICHELSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "630-668-8250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dupage Convalescent Center
• Dupage County (DuPage Care Center Outpatient Pharmacy)
• Dupage County (DuPage Convalescent Center)
• Dupage County (DuPage Care Center Inpatient Pharmacy)
• Dupage County Community Services
• Dupage Eye Surgery Center, LLC
• Dupage Foot and Ankle LLC
• Dupage Foot and Ankle, LLC
• Dupage Medical Group, LTD
• Dupage Medical Group, LTD.

• Anesthesiology Physician in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.