DR. MICHAEL J LIGHT MD
NPI 1255369534
Pediatrics - Pediatric Pulmonology in Springfield, IL

NPI Status: Active since June 28, 2006

Contact Information

400 N 9TH ST FL 3
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 545-8000

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
Durable Medical Equipment
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Pediatrics
Pediatric Pulmonology
Accepts Insurance
PECOS Enrolled

About MICHAEL LIGHT

This page provides the complete NPI Profile along with additional information for Michael Light, a pediatrician established in Springfield, Illinois with a medical specialization in Pediatrics, focusing in pediatric pulmonology . The healthcare provider is registered in the NPI registry with number 1255369534 assigned on June 2006. The practitioner's primary taxonomy code is 2080P0214X with license number 036.172989 (IL). The provider is registered as an individual and his NPI record was last updated April 2025.

NPI: 1255369534
Provider Name: DR. MICHAEL J LIGHT MD
Gender: Male
Entity Type: Individual
Location Address: 400 N 9TH ST FL 3 SPRINGFIELD, IL 62702
Location Phone: (217) 545-8000
Mailing Address: 201 E MADISON ST SPRINGFIELD, IL 62702
Mailing Phone: (217) 545-8000
Is Sole Proprietor?: No
Enumeration Date: 06-28-2006
Last Update Date: 04-15-2025
Code Navigator

A pediatrician like Michael Light is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

1580 NW 10th Ave First Floor
Miami, FL 33136
(305) 243-4664

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pediatrics Pediatric Pulmonology
Taxonomy Code: 2080P0214X
Type: Allopathic & Osteopathic Physicians
License No.: 036.172989
License State: IL
Taxonomy Description: A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	2080P0214X	Allopathic & Osteopathic Physicians	Pediatrics Pediatric Pulmonology	ME81342 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Aetna CVS Health

Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO

Ambetter Health

Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - HMO
Elite Silver - HMO
Elite Silver + Vision + Adult Dental - HMO
Enhanced Diabetes Care Silver with $0 Drug Options - HMO
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO

Ambetter of Alabama

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Elite Silver - EPO
Elite Silver + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO

AvMed

AvMed Entrust Bronze 600 (2025) - HMO
AvMed Entrust Bronze 650 (2025) - HMO
AvMed Entrust Expanded Bronze Standard (2025) - HMO
AvMed Entrust Gold 125 (2025) - HMO
AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
AvMed Entrust Gold Standard (2025) - HMO
AvMed Entrust Platinum 25 (2025) - HMO
AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
AvMed Entrust Platinum Standard (2025) - HMO
AvMed Entrust Silver 350 (2025) - HMO

Cigna Healthcare

Connect Bronze 0 Indiv Med Deductible - EPO
Connect Bronze 5500 Indiv Med Deductible - EPO
Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
Connect Bronze CMS Standard - EPO
Connect Gold 2000 Indiv Med Deductible - EPO
Connect Gold 800 Indiv Med Deductible - EPO
Connect Gold CMS Standard - EPO
Connect Silver 3600 Indiv Med Deductible - EPO
Connect Silver 4300 Indiv Med Deductible - EPO
Connect Silver CMS Standard - EPO

Florida Blue (BlueCross BlueShield FL)

BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO

Florida Blue HMO (a BlueCross BlueShield FL company)

BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
015095400	MEDICAID (05)	FL

Medicare Participation & PECOS Enrollment Status

Michael Light is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

DME-Other DME (DE005N)
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) (HCPCS:E0465)
1 DME suppliers used 11 Medicare Claims 11 Services Paid

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	5	5	3	6	9	5	3	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	10	5	6	6	18	5	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 6 + 6 + 1 + 8 + 5 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4									4

The NPI number 1255369534 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.