Individual provider Active NPI

Carol A. Menner, M.D.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1922019181
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036097549 Issued in IL
Practice address
1182 N Milwaukee Ave
Chicago, IL 60642-4007
Phone
(773) 394-6990
Fax
(773) 394-6993
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036097549 IL Primary

Addresses

Primary practice location

1182 N Milwaukee Ave
Chicago, IL 60642-4007

Mailing address

1182 N Milwaukee Ave
Chicago, IL 60642-4007
Phone (773) 394-6990

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
I20101112000925 IL Practitioner - Ophthalmology 8527253780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Louisville School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chicago Retina IncorporatedGroup PAC ID 7618162876, 2 clinicians

Practice addresses (Care Compare)

1182 N Milwaukee Ave
Suite 1
Chicago, IL 60642-4043
Phone (773) 394-6990

Merit-based Incentive Payment System (MIPS)

Final score
93.33 of 100Reported as individual
Quality
66.67
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Retina, Incorporated Ophthalmology CurrentSince Sep 16, 2010 Accepting new patients
Aesthetic Eye Associates S.C. Ophthalmology Past Accepting new patients

Locations

1182 N Milwaukee Ave
Ste 1
Chicago, IL 60642
Phone (773) 394-6990

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1922019181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606424007",
            "telephone_number": "773-394-6990",
            "fax_number": "773-394-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606424007",
            "telephone_number": "773-394-6990",
            "fax_number": "773-394-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNER",
        "first_name": "CAROL",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036097549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.