Individual provider Active NPI

Peter Maxwell Cirrincione

  • Orthopaedic Surgery Physician
  • Chicago, IL
National Provider Identifier
1053014779
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
125084382 Issued in IL
Practice address
3140 N Elston Ave # Aps1S
Chicago, IL 60618-8576
Phone
(847) 284-0175
NPI assigned
Mar 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IL
Orthopaedic Surgery Physician 207X00000X 125084382 IL Primary

Addresses

Primary practice location

3140 N Elston Ave # Aps1S
Chicago, IL 60618-8576

Mailing address

3140 N Elston Ave # Aps1S
Chicago, IL 60618-8576
Phone (847) 284-0175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240621001794 IL Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 5799228417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125084382ILMDOrthopaedic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: pcirrincione133297@uihealth.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1053014779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 N ELSTON AVE # APS1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606188576",
            "telephone_number": "847-284-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 N ELSTON AVE # APS1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606188576",
            "telephone_number": "847-284-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRRINCIONE",
        "first_name": "PETER",
        "middle_name": "MAXWELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-22",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "125084382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.