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

Michael Vanantwerp, MD

Individual provider Emergency Medicine Physician · NPI 1790349033

Michael Vanantwerp, MD is an Emergency Medicine in O Fallon, Illinois. Graduated from Wayne State University School of Medicine in 2019, 7 years ago. Practices with Midwest Emergency Good Samaritan, Inc, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
7
Trained at
Wayne State University School of Medicine
Licensed in
IL, MI
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

320 E Highway 50
O Fallon, IL 62269-2704
Phone: (888) 577-6337
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6071 W Outer Dr, Detroit, MI 48235-2624 — (313) 966-3329

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036.158946 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4301506138 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790349033
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 23, 2019
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022
Mailing address320 E Highway 50, O Fallon, IL 62269-2704

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Midwest Emergency Good Samaritan, Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in O Fallon