Individual provider Active NPI

Michael Lee Schmerman, D.D.S.

  • Periodontics
  • Lincolnwood, IL
National Provider Identifier
1962599514
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
019-015452 Issued in IL
Practice address
6677 N Lincoln Ave Ste 300
Lincolnwood, IL 60712-3634
Phone
(847) 674-3014
Fax
(847) 674-6190
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 021001006 IL
Periodontics 1223P0300X 019-015452 IL Primary

Addresses

Primary practice location

6677 N Lincoln Ave Ste 300
Lincolnwood, IL 60712-3634

Mailing address

6677 N Lincoln Ave Ste 300
Lincolnwood, IL 60712-3634
Phone (847) 674-3014

Other practice location 1

801 S Paulina St
Chicago, IL 60612-7210
Phone (312) 413-4467

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
I20250303002254 IL Practitioner - PeriodonticsPractitioner - Dentist 5890216188 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019-015452ILMDPeriodontist
021001006ILMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Board of Trustees of the University of Illinois Periodontics CurrentSince Mar 1, 2025 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Mar 1, 2025 Accepting new patients

Locations

801 S Paulina St
Chicago, IL 60612
Phone (312) 996-1052

801 S Paulina St
Rm 42
Chicago, IL 60612
Phone (312) 996-6519

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

801 S Paulina St
#621
Chicago, IL 60612
Phone (312) 355-1661

Interoperability endpoints

  • Direct secure messaging: mschmerman183554@uihealth.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1962599514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 N LINCOLN AVE STE 300",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123634",
            "telephone_number": "847-674-3014",
            "fax_number": "847-674-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 N LINCOLN AVE STE 300",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123634",
            "telephone_number": "847-674-3014",
            "fax_number": "847-674-6190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 S Paulina St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127210",
            "country_code": "US",
            "telephone_number": "312-413-4467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMERMAN",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021001006",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "019-015452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

Verify at the official NPI Registry.