OrganizationActive
Michael P. Vercimak Mdsc
NPI 1629245527 · Surgery Physician · Mendota, IL
Michael P. Vercimak Mdsc is a Surgery Physician organization in Mendota, IL (NPI 1629245527).
Provider details
- NPI number
- 1629245527
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Vercimak, Owner(815) 539-3831
- License
- 036067743 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs 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
1311 Memorial Dr
Suite 700
Mendota, IL 61342-1495
Phone: (815) 539-3831
Fax: (815) 538-4202
Street-level locationGet directions
Mailing address
1311 Memorial Dr
Mendota, IL 61342-1495
Registry dates
- Enumerated
- 2008-05-11
- Last updated
- 2010-06-07
Frequently asked questions
- What is Michael P. Vercimak Mdsc's NPI number?
- Michael P. Vercimak Mdsc's National Provider Identifier (NPI) is 1629245527, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michael P. Vercimak Mdsc?
- Michael P. Vercimak Mdsc is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Michael P. Vercimak Mdsc located?
- Michael P. Vercimak Mdsc's practice location on file with NPPES is 1311 Memorial Dr, Mendota, IL 61342-1495.
- What is Michael P. Vercimak Mdsc's phone number?
- The practice phone number listed in the NPPES registry for Michael P. Vercimak Mdsc is (815) 539-3831.
- Who is the authorized official for Michael P. Vercimak Mdsc?
- The authorized official listed on Michael P. Vercimak Mdsc's NPPES record is Michael Vercimak, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michael P. Vercimak Mdsc's NPI active?
- Yes — Michael P. Vercimak Mdsc's NPI (1629245527) is active in the NPPES registry as of the last update on 2010-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.