Michael Remy Demaertelaere, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036105510 Issued in IL

Practice address

21205 Owens Rd Ste 3
Mokena, IL 60448-2023

Phone

(815) 469-2123

Fax

(815) 469-2149

NPI assigned

Nov 22, 2006

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 3

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Service Systems, IncGroup PAC ID 2264408699, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Silver Cross Home Health Home health agency, New Lenox, IL, CCN 147452
• Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
• Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.demaertelaere@hcsc.eclinicaldirectplus.com

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.

• Health Service Systems, Inc

  • Internal Medicine Physician
  • New Lenox, IL
  • NPI 1851323257

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Health Service Systems, Inc

  • Urgent Care Clinic/Center
  • Mokena, IL
  • NPI 1578235800
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Palos Community Hospital

  • Psychiatric Hospital Unit
  • Palos Heights, IL
  • NPI 1184699118
  Care Compare affiliation
• Palos Community Hospital

  • General Acute Care Hospital
  • Palos Heights, IL
  • NPI 1851386692
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • Rehabilitation Hospital Unit
  • New Lenox, IL
  • NPI 1003933797
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • Home Health Agency
  • New Lenox, IL
  • NPI 1265558852
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • General Acute Care Hospital
  • New Lenox, IL
  • NPI 1568553519
  Care Compare affiliation

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1982779237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21205 OWENS RD STE 3",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604482023",
            "telephone_number": "815-469-2123",
            "fax_number": "815-469-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21205 OWENS RD STE 3",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604482023",
            "telephone_number": "815-469-2123",
            "fax_number": "815-469-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAERTELAERE",
        "first_name": "MICHAEL",
        "middle_name": "REMY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036105510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105510",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09915014",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROV NUMBER",
            "identifier": "649420",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Maria Degrassi-Kalkis, L AC, DIPL OM
• Julie Marie Delaney, MHS, SLP-CF
• Michelle C Delehant, PHD
• Gabriela Maritza Delgado, M.D.
• Jody Rachel Delind, D.O.
• Molly Demereckis, BCBA
• Dental Professionals of Illinois, P.C.
• Kelly Derr, LCSW
• Kelly Kathleen Devereux, M.S. CCC-SLP
• Kelly L Devine, MS, RDN, LDN

• Family Medicine Physician in Mokena, IL
• Providers in Mokena, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.

Verify at the official NPI Registry.