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NPISignal

Individual Healthcare Provider

Michael Robin Ellen, MD

NPI Record: ActiveUrology
NPI1043287980
Elgin, Illinois

Provider's NPPES record last updated: January 22, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1043287980
Primary Specialty
Urology
Practice Location
Elgin, Illinois
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 9:11 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Urology

    Allopathic & Osteopathic Physicians

    Primary

    A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

    Taxonomy code 208800000X

Provider-Reported License Information

Urology (Illinois)
036-178348
Urology (Washington)
MD00026526
Urology (Wisconsin)
83995
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

745 Fletcher Dr Ste 301

Elgin, Illinois 60123-4750

Phone: (847) 741-0398

Additional Practice Location

8400 Washington Ave

Mount Pleasant, Wisconsin 53406-3735

Phone: (262) 884-4000

Additional Practice Location

907 Georgiana St

Port Angeles, Washington 98362-3911

Phone: (360) 565-0999

Fax: (360) 565-9251

Record Information

Enumeration Date
February 28, 2006
Provider's NPPES Record Last Updated
January 22, 2026
Certification Date
January 22, 2026
NPISignal NPPES Dataset
August 2026

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