NPIMap

Individual provider Active NPI

Robert J S Mack, M.D. P C

  • Ophthalmology Physician
  • Hoffman Estates, IL
National Provider Identifier
1932107778
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036090403 Issued in IL
Practice address
1220 W Higgins Rd
Ste 102
Hoffman Estates, IL 60169-4033
Phone
(847) 755-9393
Fax
(847) 755-1560
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036-090403 IL
Ophthalmology Physician 207W00000X 036090403 IL Primary

Addresses

Primary practice location

1220 W Higgins Rd
Ste 102
Hoffman Estates, IL 60169-4033

Mailing address

1220 W Higgins Rd
Ste 102
Hoffman Estates, IL 60169-4033
Phone (847) 755-9393

Other identifiers 1

IdentifierTypeStateIssuer
6046380001OtherILNATIONAL GOVERNMENT SERVICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110106000993 IL Practitioner - Ophthalmology 2860407582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert J S Mack MD PCGroup PAC ID 7416962139, 4 clinicians

Practice addresses (Care Compare)

1220 W Higgins Rd
Suite 102
Hoffman Estates, IL 60169-4024
Phone (847) 755-9393

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-090403ILMDSpecialist
036090403ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J S Mack, MD PC Corneal and Contact Management CurrentSince Jan 1, 1998 Accepting new patients
Ophthalmic Consultants of Chicago, LLC Ophthalmology PastSince Jul 1, 2011 Accepting new patients

Locations

1220 W Higgins Rd
Ste 102
Hoffman Estates, IL 60169
Phone (847) 755-9393

1585 N Barrington Rd
Ste 404
Hoffman Estates, IL 60169
Phone (847) 755-9393

Interoperability endpoints

  • Direct secure messaging: rmack@mackeye.emadirect.md

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.

Hospital & facility affiliations 7

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1932107778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W HIGGINS RD",
            "address_2": "STE 102",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601694033",
            "telephone_number": "847-755-9393",
            "fax_number": "847-755-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W HIGGINS RD",
            "address_2": "STE 102",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601694033",
            "telephone_number": "847-755-9393",
            "fax_number": "847-755-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "ROBERT",
        "middle_name": "J S",
        "name_prefix": "Dr.",
        "credential": "M.D. P C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-090403",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036090403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL GOVERNMENT SERVICES",
            "identifier": "6046380001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.