Individual provider Active NPI

Pauline K Wiener, M.D.

  • Geriatric Psychiatry Physician
  • Carol Stream, IL
National Provider Identifier
1073680187
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
036088334 Issued in IL
Practice address
27W170 Saint Charles Rd
Carol Stream, IL 60188-1935
Phone
(630) 231-9400
Fax
(630) 231-2736
NPI assigned
Nov 30, 2006
Last updated
Oct 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 036088334 IL Primary

Addresses

Primary practice location

27W170 Saint Charles Rd
Carol Stream, IL 60188-1935

Mailing address

27W170 Saint Charles Rd
Carol Stream, IL 60188-1935
Phone (630) 231-9400

Other identifiers 2

IdentifierTypeStateIssuer
260027994OtherILRAILROAD MEDICARE
036088334MedicaidIL

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
I20071204000213 IL Practitioner - Psychiatry 2961591680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rush Medical College of Rush University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27 W170 Saint Charles Rd
Carol Stream, IL 60188-1935
Phone (630) 231-9400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as individual
Quality
74.54
Improvement activities
40
Cost
70.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pauline K. Wiener, M.D., S.C. Geriatric Psychiatry CurrentSince Jun 1, 1995 Accepting new patients
A & M Internal Medicine, LTD. CurrentSince Jul 1, 1997 Accepting new patients

Locations

27W170 Saint Charles Rd
Carol Stream, IL 60188
Phone (630) 231-9400

Organizations & group practices 2

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.

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1073680187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27W170 SAINT CHARLES RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881935",
            "telephone_number": "630-231-9400",
            "fax_number": "630-231-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27W170 SAINT CHARLES RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881935",
            "telephone_number": "630-231-9400",
            "fax_number": "630-231-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "PAULINE",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "IL",
            "license": "036088334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260027994",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088334",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

Verify at the official NPI Registry.