Active NPI
Carol A. Menner, M.D.
- Ophthalmology Physician
- Chicago, IL
National Provider Identifier
1922019181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036097549
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 66.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Retina, Incorporated | Ophthalmology | Current | 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.
-
- Ophthalmology Physician
- Chicago, IL
- NPI 1619129491
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Elk Grove Village, IL
- NPI 1790980589
Ophthalmology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.