Individual provider Active NPI

Misty L McNeill, DPM

  • Podiatrist
  • Elmhurst, IL
National Provider Identifier
1922085505
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005059 Issued in IL
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

Updated by the provider on Jul 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2230194OtherILBC
P00067255OtherRR/MEDICARE
016005059MedicaidIL
201857850OtherILTAX 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050110000887 IL Practitioner - Podiatry 1052369675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weil Foot and Ankle Institute LLCGroup PAC ID 4587655105, 56 clinicians

Practice addresses (Care Compare)

915 Harger Rd
Suite 250
Oak Brook, IL 60523-1492
Phone (847) 390-7666

Hospital & facility affiliations

  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005059ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weil Foot and Ankle Institute LLC Podiatrist CurrentSince Oct 1, 2021 Accepting new patients
Weil Foot and Ankle Institute LLC Podiatrist CurrentSince Oct 1, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.