MICHAEL MESIROW PA-C
NPI 1487150629
Physician Assistant in Berwyn, IL

Q: What is Michael Mesirow's NPI number?

The NPI number for Michael Mesirow is 1487150629. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Q: What is Michael Mesirow's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Mesirow was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since April 05, 2018PECOS Enrolled

2550 OAK PARK AVE, BERWYN, IL 60402(708) 575-6757 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2025, Dec 4, 2023, Sep 10, 2019 (3 updates tracked since 2019).

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About Michael Mesirow Pa-c NPPES

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

MICHAEL MESIROW PA-C (NPI 1487150629) is an individual physician assistant in Berwyn, Illinois, licensed in Illinois (085.006505) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487150629

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMICHAEL MESIROWCredential: PA-C

Location Address2550 OAK PARK AVEBerwyn, IL 60402-4661

Mailing Address618 Paddock LnLibertyville, IL 60048-3733 · (773) 504-7075

Phone(708) 575-6757

Sole ProprietorNo

Enumeration DateApril 5, 2018

Last NPPES UpdateMarch 5, 20253 updates tracked since enumeration

NPPES CertifiedMarch 5, 2025

✔ NPI 1487150629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085.006505

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2550 OAK PARK AVE, Berwyn, IL 60402

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Mesirow Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60402 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

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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 6

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

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