MICHELLE SWEET-ALBORES MD
NPI 1316908759
Family Medicine in Lombard, IL

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
130 S MAIN ST, LOMBARD, IL 60148(331) 221-9002 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michelle Sweet-albores Md NPPES

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

MICHELLE SWEET-ALBORES MD (NPI 1316908759) is an individual family medicine provider in Lombard, Illinois, licensed in Illinois (036098143) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and maintains a secondary practice location in Hinsdale.

NPPES Registry Identity

NPI1316908759
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICHELLE SWEET-ALBORESCredential: MD
Location Address130 S MAIN STLombard, IL 60148-2670
Mailing Address4901 Searle PkwySkokie, IL 60077-5313 · (331) 221-9002 · Fax (331) 221-3959
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1996
Enumeration DateMarch 28, 2006
Last NPPES UpdateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
NPI 1316908759 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 · 036098143
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.
130 S MAIN ST, Lombard, IL 60148

Secondary Practice Location 1

Location 18 Salt Creek Ln Ste 301Hinsdale, IL 60521-2903 · Phone (331) 221-2550 · Fax (331) 221-2722

Accepted 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

Michelle Sweet-albores Md 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 ID3779485156
PECOS Enrollment IDI20040126000204
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 17

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
472 services445 patients
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.
151 services150 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
95 services91 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services76 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
48 services46 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
41 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60148 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$169.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
130 S MAIN ST
LOMBARD, IL 60148
Clinic/Center (Urgent Care)
130 S MAIN ST
LOMBARD, IL 60148
Emergency Medicine
130 S MAIN ST
LOMBARD, IL 60148
Emergency Medicine
130 S MAIN ST
LOMBARD, IL 60148
Ophthalmology
130 S MAIN ST, SUITE 303
LOMBARD, IL 60148
Physician Assistant
130 S MAIN ST
LOMBARD, IL 60148
Physical Therapist
130 S MAIN ST
LOMBARD, IL 60148
Internal Medicine (Allergy & Immunology)
130 S MAIN ST, SUITE 202
LOMBARD, IL 60148

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 Sweet-albores's NPI number?

The NPI number for Michelle Sweet-albores is 1316908759. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Michelle Sweet-albores located?

Michelle Sweet-albores practices at 130 S Main St, Lombard, IL 60148. The listed phone number is (331) 221-9002.

What is Michelle Sweet-albores's specialty?

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

Is Michelle Sweet-albores enrolled in Medicare?

Yes. Michelle Sweet-albores 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 Michelle Sweet-albores accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Blue Cross and Blue Shield of Kansas, Inc. list Michelle Sweet-albores 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 Michelle Sweet-albores affiliated with any hospitals?

According to CMS data, Michelle Sweet-albores is affiliated with Elmhurst Memorial Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Sweet-albores was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.