Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255369534 Individual Practitioner Male Practitioner

Dr. Michael J Light , MD

Pediatrics - Pediatric Pulmonology • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Michael Light, MD is a registered healthcare professional specializing in Pediatrics - Pediatric Pulmonology in Springfield, IL. Practice services are available at 400 N 9TH ST FL 3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 N 9th St Fl 3

Springfield, IL 627025310

Telephone 2175458000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics - Pediatric Pulmonology in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 36.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Springfield, IL (42 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-15
Pediatrics - Pediatric Pulmonology Primary Specialty

NUCC Taxonomy Code: 2080P0214X

State License IL 036.172989

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Pediatrics - Pediatric Pulmonology

NUCC Taxonomy Code: 2080P0214X

State License FL ME81342

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
015095400 (FL)

Secondary Practice Locations

1580 Nw 10th Ave, First Floor

Miami, FL 331361013

Phone: 3052434664

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 15, 2025

Registered at 400 N 9TH ST FL 3, SPRINGFIELD, IL 627025310 (Tel: 2175458000)

📍
Updated Business Mailing Address April 15, 2025

Registered at 201 E MADISON ST, SPRINGFIELD, IL 627025131 (Tel: 2175458000)

NPI Profile Active July 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2015

Registered at 1580 NW 10TH AVE, FIRST FLOOR, MIAMI, FL 331361013 (Tel: 3052434664)

📍
Updated Business Mailing Address July 27, 2015

Registered at 1500 NW 12TH AVE, JMT-EAST 1007, MIAMI, FL 331361051 (Tel: 3052434664)

👤
Provider Name / Credentials Updated July 27, 2015

Recorded as MICHAEL LIGHT, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2015

Pediatrics (License #ME81342 in FL)

🟢
Initial NPI Registration & Enumeration June 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255369534
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2006
Last Update: April 15, 2025
Sole Proprietor: No

Mailing Address

201 E Madison St

Springfield, IL 627025131

Phone: 2175458000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.