Michael Anthony Pontarelli, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009742 Issued in IL

Practice address

1811 W North Ave
Suite 202
Chicago, IL 60622-0202

Phone

(773) 235-7878

Fax

(773) 235-7894

NPI assigned

Nov 27, 2006

Last updated

Oct 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Wellness Revolution Chiropractic and Acupuncture CenterGroup PAC ID 4981669678, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellness Revolution Chiropractic & Acupuncture Center

  • Chiropractor
  • Evanston, IL
  • NPI 1710035183
  Medicare reassignment Care Compare group
• Windy City Wellness, SC

  • Chiropractor
  • Chicago, IL
  • NPI 1285794297
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1982770681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N CARLYLE LN",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600045751",
            "telephone_number": "847-754-1946",
            "fax_number": "773-235-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 W NORTH AVE",
            "address_2": "SUITE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606220202",
            "telephone_number": "773-235-7878",
            "fax_number": "773-235-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTARELLI",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1634086",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Ann Pongracic, MD
• Abigail Poniente Monsalud
• Natalya Igorevna Ponomareva, MD
• Ponos Care Illinois, PLLC
• Maria del Carmen Pons Torres, MD, PHD
• Vittoria Madia Pontarelli, D.D.S.
• Megan Ponte, LCSW
• Pamala J Pontikes, PHARMD
• Jessica Pontis, LCSW
• Maria Teresa Ponton, MD

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.