Individual provider Active NPI

Peter Peraud, M.D.

  • Emergency Medicine Physician
  • Oak Lawn, IL
National Provider Identifier
1013017623
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
36115679 Issued in IL
Practice address
4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone
(708) 684-4077
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 36115679 IL Primary

Addresses

Primary practice location

4440 W 95TH St
Oak Lawn, IL 60453-2600

Mailing address

4440 W 95TH St
Oak Lawn, IL 60453-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080527000469 IA Practitioner - Emergency Medicine 2264431758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Linn County Emergency Medicine PCGroup PAC ID 9830089275, 35 clinicians
Johnson County Emergency Medicine PLCGroup PAC ID 6901231810, 29 clinicians

Practice addresses (Care Compare)

1195 Boyson Rd
Suite 101
Hiawatha, IA 52233-2218
Phone (319) 832-3950

500 E Market St
Iowa City, IA 52245-2633
Phone (319) 339-0300

Hospital & facility affiliations

  • University of Iowa Health Care Medical Center Down Hospital, Iowa City, IA, CCN 160029
  • Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36115679ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson County Emergency Medicine, PLC Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Linn County Emergency Medicine PC Emergency Medicine Current Accepting new patients
Linn County Emergency Medicine PC Emergency Medicine CurrentSince Jun 1, 2008 Accepting new patients
Mercy Hospital, Iowa City, Iowa Emergency Medicine CurrentSince May 13, 2019 Accepting new patients
Virginia Em-I Medical Services, PC Emergency Medicine Past Accepting new patients

Locations

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

1195 Boyson Rd
Ste 101
Hiawatha, IA 52233
Phone (319) 832-3950

540 E Jefferson St
Ste 400
Iowa City, IA 52245
Phone (319) 339-3400

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

999 35th St
Marion, IA 52302

Organizations & group practices 5

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013017623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600",
            "telephone_number": "708-684-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERAUD",
        "first_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "36115679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.