DR. MICHAEL ANDREW PAUL M.D.
NPI 1093998874
Pediatrics - Pediatric Cardiology in Hoffman Estates, IL
About Dr. Michael Andrew Paul M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL ANDREW PAUL M.D. (NPI 1093998874) is an individual pediatric cardiology provider in Hoffman Estates, Illinois, licensed in Illinois (036-112557) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Michael Andrew Paul M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Michael Paul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- Also billed through NPI 1003542184 (Illinois)
- 4,870 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOFFMAN ESTATES, IL 60169
HOFFMAN ESTATES, IL 60169
HOFFMAN ESTATES, IL 60169
Frequently 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 Michael Paul's NPI number?
The NPI number for Michael Paul is 1093998874. It was assigned to this individual provider in the NPPES registry on December 14, 2007.
Where is Michael Paul located?
Michael Paul practices at 1555 Barrington Rd Dob #1, Suite 430, Hoffman Estates, IL 60169. The listed phone number is (847) 884-1212.
What is Michael Paul's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Michael Paul enrolled in Medicare?
Yes. Michael Paul is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Michael Paul's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Paul reassigns Medicare benefits to Lutheran General Hospital (Park Ridge, IL). The 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 Michael Paul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Paul accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Michael Paul as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Michael Paul was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Michael Andrew Paul, M.D. · NPI 1093998874
Pediatric Cardiology physician in Hoffman Estates, Illinois. Individual provider, active in the CMS NPPES registry since December 14, 2007.
## Identity
- **NPI:** 1093998874 (Entity type: Individual)
- **Enumerated:** December 14, 2007
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** 036-112557 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1555 BARRINGTON RD, DOB #1, SUITE 430, Hoffman Estates, IL 60169-1019
- **Phone:** (847) 884-1212
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lutheran General Hospital (NPI 1801809306, Park Ridge, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Chicago, Pritzker School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** November 18, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1093998874) · Data from the CMS NPPES public registry.