Active NPI
Michael W Drazer, M.D.
- Hematology & Oncology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 036137417
- Practice address
- 5841 S Maryland Ave
Chicago, IL 60637 - Phone
- (773) 702-1000
- NPI assigned
- Jul 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125060967 | IL | |
| Hematology & Oncology Physician | 207RH0003X | 036137417 | IL | Primary |
Addresses
Primary practice location
5841 S Maryland Ave
Chicago, IL 60637
Mailing address
5841 S Maryland Ave
Chicago, IL 60637-1447
Phone (773) 702-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of Chicago, Pritzker School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10855 Virginia St
Suite 2100
Crown Point, IN 46307-0210
Phone (888) 824-0200
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000
Hospital & facility affiliations
- The University of Chicago Medical Center
- Uchicago Medicine Northwest Indiana
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125060967 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Hospital | Internal Medicine | Current | Accepting new patients |
| University of Chicago | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Metropolitan Hospital | Internal Medicine | Current | Accepting new patients |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Metropolitan Hospital | Past | Accepting new patients | |
| Metropolitan Hospital | Internal Medicine | Past | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
10855 Virginia St
Ste 2200
Crown Point, IN 46307
Phone (219) 407-5540
10855 Virginia St
Ste 2100
Crown Point, IN 46307
Phone (219) 407-5540
1500 S Lake Park Ave
Ste 109
Hobart, IN 46342
Phone (219) 942-0551
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100
Interoperability endpoints
- mdrazermd23472@uchospital.direct-ci.com
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Internal Medicine Physician
- Wyoming, MI
- NPI 1811937519
-
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
-
- Anatomic Pathology & Clinical Pathology Physician
- Wyoming, MI
- NPI 1336182542
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1508956509
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1144914532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1942564117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371447",
"telephone_number": "773-702-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60637",
"telephone_number": "773-702-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAZER",
"first_name": "MICHAEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-02",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125060967",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "036137417",
"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 Jun 27, 2018; 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.