Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael S Mengarelli, DO

Individual provider Emergency Medicine Physician · NPI 1568022507

Dr. Michael S Mengarelli, DO is an Emergency Medicine in Carbondale, Illinois. Qualified in 2019, 7 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois and Pennsylvania.

Years since qualifying
7
Licensed in
IL, PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

405 W Jackson St
Carbondale, IL 62901-1462
Phone: (618) 549-0721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 201 S 14th St, Herrin, IL 62948-3631 — (618) 942-2171
  • 1000 Health Center Dr, Mattoon, IL 61938-4644 — (217) 258-2551
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 — (618) 684-3156
  • 420 S 5th Ave, West Reading, PA 19611-2143 — (660) 349-0851

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036158993 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence OT019002 (PA)

Record details

NPI number1568022507
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 20, 2019
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023
Mailing addressPo Box 3988, Carbondale, IL 62902-3988

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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