Active NPI
Misty L McNeill, DPM
- Podiatrist
- Elmhurst, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016005059
- Practice address
- 532 S York St
Elmhurst, IL 60126-3952 - Phone
- (630) 834-3668
- Fax
- (630) 834-4015
- NPI assigned
- Dec 27, 2005
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016005059 | IL | Primary |
Addresses
Primary practice location
532 S York St
Elmhurst, IL 60126-3952
Mailing address
532 S York St
Elmhurst, IL 60126-3952
Phone (630) 834-3668
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2230194 | Other | IL | BC |
| P00067255 | Other | RR/MEDICARE | |
| 016005059 | Medicaid | IL | |
| 201857850 | Other | IL | TAX ID |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
915 Harger Rd
Suite 250
Oak Brook, IL 60523-1492
Phone (847) 390-7666
Hospital & facility affiliations
- Elmhurst Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016005059 | IL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weil Foot and Ankle Institute LLC | Podiatrist | Current | Accepting new patients |
| Weil Foot and Ankle Institute LLC | Podiatrist | Current | Accepting new patients |
| Weil Foot and Ankle Institute LLC | Current | Accepting new patients | |
| Weil Foot & Ankle Institute | Past | Accepting new patients | |
| Quality Podiatry Group, LTD | Podiatrist | Past | Accepting new patients |
Locations
136 W Vallette St
Ste 2
Elmhurst, IL 60126
Phone (630) 834-3668
1660 Feehanville Dr
Ste 100
Mt Prospect, IL 60056
Phone (847) 627-4924
915 Harger Rd
Ste 250
Oak Brook, IL 60523
Interoperability endpoints
- mmcneill@weil.emadirect.md
Organizations & group practices 5
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.
-
- Foot & Ankle Surgery Podiatrist
- Mount Prospect, IL
- NPI 1710965314
-
- Clinical Medical Laboratory
- Mount Prospect, IL
- NPI 1154942837
-
- Podiatrist
- Chicago, IL
- NPI 1992678312
-
- Podiatrist
- Skokie, IL
- NPI 1760585814
-
- Foot Surgery Podiatrist
- Des Plaines, IL
- NPI 1821097262
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1922085505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 S YORK ST",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601263952",
"telephone_number": "630-834-3668",
"fax_number": "630-834-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 S YORK ST",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601263952",
"telephone_number": "630-834-3668",
"fax_number": "630-834-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEILL",
"first_name": "MISTY",
"middle_name": "L",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016005059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "2230194",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR/MEDICARE",
"identifier": "P00067255",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016005059",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "201857850",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.