Timothy John Mertes, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

2011 Rock St
Suite F
Peru, IL 61354-1385

Phone

(815) 224-8090

Fax

(815) 224-8091

NPI assigned

Sep 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
• IL HMO C-SNP
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• IL PPO Downstate

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Life Health & Wellness LLC

  • Chiropractor
  • Peru, IL
  • NPI 1992402689
  Medicare reassignment NPD Authorized official
• New Life Chiropractic, PC

  • Chiropractor
  • Bolingbrook, IL
  • NPI 1578768214
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013014778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 ROCK ST",
            "address_2": "SUITE F",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541385",
            "telephone_number": "815-224-8090",
            "fax_number": "815-224-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 ROCK ST",
            "address_2": "SUITE F",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541385",
            "telephone_number": "815-224-8090",
            "fax_number": "815-224-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTES",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mendota Community Hospital (Osf Healthcare - Medical Group - Plaza)
• Mendota Community Hospital (Osf Healthcare - Medical Group - Midtown)
• Adelino Mendoza
• Maria Mendoza
• Monafae Jane Menerey, PT
• Patricia Michaels
• Heather Lynn Miller, CNM
• Roger T Miller, DC
• Robert J Mitchell, D.O.
• Daniel T Moran, D.D.S.

• Chiropractor in Peru, IL
• Providers in Peru, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.