ETHAN MICHAEL MEISEL (M.D.) – General Practice Physician, NPI 1013029511

ETHAN MICHAEL MEISEL (M.D.) is a healthcare provider. based in Downers grove, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. H95343 (GA). The NPI Number for ETHAN MICHAEL MEISEL (M.D.) is 1013029511

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
ETHAN MICHAEL MEISEL (M.D.)
NPI
1013029511
Phone
(630) 725-2832
Address
2001 BUTTERFIELD RD
Enumeration Date
31 August 2006
Last Update Date
20 May 2015

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
4047787525
Graduation Year
2000 (26 years ago)
PAC ID
3375582653
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20050426001309
Address ID
GA303221013AT1365XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,847 EMERGENCY MEDICINE in IL

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Provider Addresses for ETHAN MICHAEL MEISEL (M.D.)

  • 2001, Butterfield Road, Downers Grove, DuPage County, Illinois, 60148:60515, United States

    SUITE 300

    DOWNERS GROVE, IL 605151050

    Phone: (630) 725-2832

    Fax: (877) 489-5993

    Type: Mailing

  • Murasaki Lounge, 211, East Ontario Street, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States

    SUITE 925

    CHICAGO, IL 606113468

    Phone: (312) 573-0614

    Fax: (312) 573-0694

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050426001309IEmergency MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making1818$0
99284Emergency department visit with moderate level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 60515)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

Does ETHAN MICHAEL MEISEL (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ETHAN MICHAEL MEISEL (M.D.) uses 1013029511.
Does the file indicate ETHAN MICHAEL MEISEL (M.D.) is practicing under active NPI?
Directory data currently reports ETHAN MICHAEL MEISEL (M.D.) as active.
What is ETHAN MICHAEL MEISEL (M.D.)'s primary classification?
General Practice Physician is the headline specialty for ETHAN MICHAEL MEISEL (M.D.) here. Clinical services aligned with this taxonomy classification.
Does ETHAN MICHAEL MEISEL (M.D.) list a practice location?
Patients near Downers Grove, Illinois may find ETHAN MICHAEL MEISEL (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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