MICHIGAN AVENUE PRIMARY CARE, S.C.
NPI 1013239672
Family Medicine in Chicago, IL
About Michigan Avenue Primary Care, S.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHIGAN AVENUE PRIMARY CARE, S.C. (NPI 1013239672) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since February 2010. The organization holds a CLIA Microscopy certificate valid through June 18, 2027 and lists James A Runke, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michigan Avenue Primary Care, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Michigan Avenue Primary Care, S.C., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2060887
Michigan Avenue Primary Care · Chicago, ILFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Michigan Avenue Primary Care, S.C.'s NPI number?
The NPI number for Michigan Avenue Primary Care, S.C. is 1013239672. It was assigned to this organization in the NPPES registry on February 24, 2010.
Where is Michigan Avenue Primary Care, S.C. located?
Michigan Avenue Primary Care, S.C. is located at 180 N Michigan Ave Suite 1605, Chicago, IL 60601. The listed phone number is (312) 201-1234.
What is Michigan Avenue Primary Care, S.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Michigan Avenue Primary Care, S.C. enrolled in Medicare?
Yes. Michigan Avenue Primary Care, S.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Michigan Avenue Primary Care, S.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Michigan Avenue Primary Care, S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (5) and Internal Medicine (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Michigan Avenue Primary Care, S.C. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2060887) is associated with this NPI, valid through June 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Michigan Avenue Primary Care, S.C. was last updated on January 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Michigan Avenue Primary Care, S.c. · NPI 1013239672
Family Medicine organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since February 24, 2010.
## Identity
- **NPI:** 1013239672 (Entity type: Organization)
- **Enumerated:** February 24, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** James Runke, MEDICAL DIRECTOR
## Practice location
- **Address:** 180 N MICHIGAN AVE, SUITE 1605, Chicago, IL 60601-7478
- **Phone:** (312) 201-1234 · **Fax:** (312) 201-1202
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (5), Internal Medicine (2); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013239672) · Data from the CMS NPPES public registry.