Amanda Micklo, DO
NPI 1619771508 · Internal Medicine Physician · Evanston, IL
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amanda Micklo, DO is a Internal Medicine Physician provider in Evanston, IL (NPI 1619771508).
Provider details
- NPI number
- 1619771508
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- License
- 125.085423 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-04-01
- Last updated
- 2025-07-15
- Certified
- 2025-07-15
Frequently asked questions
- What is Amanda Micklo's NPI number?
- Amanda Micklo's National Provider Identifier (NPI) is 1619771508, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amanda Micklo's specialty?
- Amanda Micklo is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Amanda Micklo located?
- Amanda Micklo's practice location on file with NPPES is 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700.
- What is Amanda Micklo's phone number?
- The practice phone number listed in the NPPES registry for Amanda Micklo is (847) 570-2700.
- Does Amanda Micklo accept Medicare?
- Amanda Micklo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amanda Micklo's NPI active?
- Yes — Amanda Micklo's NPI (1619771508) is active in the NPPES registry as of the last update on 2025-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.