PAULO ROBERTO KOSSATZ MICHELINI
NPI 1164916706
Family Medicine in Peoria, IL

Q: What is Paulo Roberto Michelini's NPI number?

The NPI number for Paulo Roberto Michelini is 1164916706. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Q: What is Paulo Roberto Michelini's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 18, 2018PECOS EnrolledAccepts Medicare Assignment

221 NE GLEN OAK AVE, PEORIA, IL 61636(309) 672-4974 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Paulo Roberto Kossatz Michelini NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAULO ROBERTO KOSSATZ MICHELINI (NPI 1164916706) is an individual family medicine provider in Peoria, Illinois, licensed in Illinois (90200000X) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Crossing Rivers Health Medical Center, and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1164916706

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePAULO ROBERTO KOSSATZ MICHELINI

Location Address221 NE GLEN OAK AVEPeoria, IL 61636-0001

Mailing Address221 Ne Glen Oak AvePeoria, IL 61636-0001

Phone(309) 672-4974

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 18, 2018

✔ NPI 1164916706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 90200000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

221 NE GLEN OAK AVE, Peoria, IL 61636

Open in Google Maps ↗

Secondary Practice Location 1

Location 1815 Main St Ste CPeoria, IL 61602-1080 · Phone (309) 672-4977

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Quartz and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paulo Roberto Kossatz Michelini 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.

PECOS PAC ID1355749888

PECOS Enrollment IDI20241227000088

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

32 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Crossing Rivers Health Medical Center

Critical Access Hospitals · Prairie Du Chien, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521330

Location37868 Us Hwy 18Prairie Du Chien, WI 53821 · Crawford County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61636 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BRYCE HAMAMOTO

Student in an Organized Health Care Education/Training Program

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 672-5522

RIAZ SHAH MD

Internal Medicine

221 NE GLEN OAK AVE, SUITE 504
PEORIA, IL 61636

Peoria County (309) 672-5729

CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS, LTD

Radiology (Radiation Oncology)

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 672-5700

MIHAILO NIKOLIC

Nurse Anesthetist, Certified Registered

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 672-5654

WAQAS ALI MD

Internal Medicine

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 672-5522

ANNE LOOK APN

Nurse Practitioner (Acute Care)

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 672-5522

DR. KENNETH STRUM M.D.

Anesthesiology

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 369-1761

DR. ANDREW BRIAN ARMSTRONG M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 672-4920

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 Paulo Roberto Michelini's NPI number?

The NPI number for Paulo Roberto Michelini is 1164916706. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Paulo Roberto Michelini located?

Paulo Roberto Michelini practices at 221 NE Glen Oak Ave, Peoria, IL 61636. The listed phone number is (309) 672-4974.

What is Paulo Roberto Michelini's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paulo Roberto Michelini enrolled in Medicare?

Yes. Paulo Roberto Michelini 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.

What insurance does Paulo Roberto Michelini accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Quartz and Security Health Plan list Paulo Roberto Michelini 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.

Is Paulo Roberto Michelini affiliated with any hospitals?

According to CMS data, Paulo Roberto Michelini is affiliated with Crossing Rivers Health Medical Center.

When was this NPI record last updated?

The NPPES record for Paulo Roberto Michelini was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.