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MICHELLE SERGEL M.D.
NPI 1245250885
Emergency Medicine in Chicago, IL

Active since July 19, 2006PECOS Enrolled
84.57/100
CMS Quality Rating
1900 W POLK ST, CHICAGO, IL 60612(312) 864-0065 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 30, 2021, Sep 14, 2020 (2 updates tracked since 2020).

About Michelle Sergel M.d. NPPES

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

MICHELLE SERGEL M.D. (NPI 1245250885) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (036104319) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1245250885
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMICHELLE SERGELCredential: M.D.
Location Address1900 W POLK STChicago, IL 60612-3723
Mailing Address832 W 37th PlChicago, IL 60609-1408 · (312) 720-6715
Phone(312) 864-0065
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateJune 9, 20262 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1245250885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036104319
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036-104319 (IL)
1900 W POLK ST, Chicago, IL 60612
Open in Google Maps ↗

Other Names 1

Former Name (1)Michelle Canham M.d.

Secondary Practice Locations 4

Location 18201 E Riverside BlvdRockford, IL 61114-2300 · Phone (815) 971-7000 · Fax (815) 968-4795
Location 21045 W Stephenson StFreeport, IL 61032-4864 · Phone (815) 599-6000 · Fax (815) 599-7974
Location 3875 S Route 31Crystal Lake, IL 60014-8190 · Phone (779) 220-5500 · Fax (779) 220-5184
Location 41000 Mineral Point AveJanesville, WI 53548-2982 · Phone (608) 756-6868 · Fax (608) 756-6289

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Group Health Cooperative-SCW.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Sergel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

8

Medicare enrollment records show Michelle Sergel reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cook County
0.1 mi
Family Medicine
605 S WOLCOTT AVE, SUITE 605
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1912063439 (312) 864-4649
St Anthony Emergency Services Physician Group
1.7 mi
Emergency Medical Services
2875 W 19TH ST
Chicago, IL 60623
  • Reassigned Medicare billing, Illinois enrollment
  • 24 clinicians in this Medicare group
NPI 1760587703 (773) 484-4783
Mercy Harvard Hospital Inc
61 mi
Critical Access
901 GRANT ST
Harvard, IL 60033
  • Reassigned Medicare billing, Illinois enrollment
  • 382 clinicians in this Medicare group
NPI 1427001445 (815) 943-5431
Mercy Health System Corporation
67 mi
Critical Access
N2950 STATE ROAD 67
Lake Geneva, WI 53147
  • Reassigned Medicare billing, Wisconsin enrollment
  • 271 clinicians in this Medicare group
NPI 1699728550 (262) 245-0535
Rockford Health Physicians
73 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428
Freeport Regional Health Care Foundation
104 mi
Family Medicine
1036 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 391 clinicians in this Medicare group
NPI 1457337016 (815) 599-6000
Freeport Memorial Hospital
104 mi
General Acute Care Hospital
1045 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 478 clinicians in this Medicare group
NPI 1447228788 (815) 599-6000
Emergency Physician Associates Of Wisconsin Sc
221 mi
Emergency Medicine
3100 SHORE DR
Marinette, WI 54143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 59 clinicians in this Medicare group
NPI 1396119426 (715) 735-4200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
26 services26 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
25 services25 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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.

DR. CARMENCITA GARCIA SENSENG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1900 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-7561
DR. REBECCA BOWER-LEWIS M.D.
Emergency Medicine
1900 W POLK ST, SUITE 1053
CHICAGO, IL 60612
Cook County (312) 864-0060
JOHN STROGER JR. HOSPITAL OF THE COOK COUNTY
General Acute Care Hospital
1900 W POLK ST, DEPT OF EM 10TH FLOOR
CHICAGO, IL 60612
Cook County (312) 864-0060
SARAH AHMED CRNA
Nurse Anesthetist, Certified Registered
1900 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-0452
MS. JENNIFER MARY DUFF APN
Nurse Practitioner (Pediatrics)
1900 W POLK ST, 1143
CHICAGO, IL 60612
Cook County (312) 864-4150
DR. MATTHEW Y RHEE M.D.
Emergency Medicine
1900 W POLK ST, DEPARTMENT OF EMERGENCY MEDICINE
CHICAGO, IL 60612
Cook County (312) 864-0062
IRENE STEPHANIE ALEXANDRA ALUEN METZNER M.D.
Internal Medicine
1900 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-4462
DR. NIVA SHAKYA M.D.
Pediatrics
1900 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-4505

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 Michelle Sergel's NPI number?

The NPI number for Michelle Sergel is 1245250885. It was assigned to this individual provider in the NPPES registry on July 19, 2006. The provider is also known as Michelle Canham M.D..

Where is Michelle Sergel located?

Michelle Sergel practices at 1900 W Polk St, Chicago, IL 60612. The listed phone number is (312) 864-0065.

What is Michelle Sergel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michelle Sergel enrolled in Medicare?

Yes. Michelle Sergel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Sergel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Sergel reassigns Medicare benefits to 8 organizations: Cook County (Chicago, IL), St Anthony Emergency Services Physician Group (Chicago, IL), Mercy Harvard Hospital Inc (Harvard, IL), Mercy Health System Corporation (Lake Geneva, WI), Rockford Health Physicians (Rockford, IL) and 3 more organizations, listed in the Medicare section above. Each 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 Michelle Sergel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Sergel accept?

Health plans from CareSource (Common Ground Healthcare) and Group Health Cooperative-SCW list Michelle Sergel 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 Michelle Sergel was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.