Individual provider Active NPI

Peter M. Oshin, MD

  • Gastroenterology Physician
  • Gurnee, IL
National Provider Identifier
1093732331
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036-094708 Issued in IL
Practice address
15 Tower CT Ste 265
Gurnee, IL 60031-3340
Phone
(847) 623-8818
Fax
(847) 625-8059
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036-094708 IL Primary

Addresses

Primary practice location

15 Tower CT Ste 265
Gurnee, IL 60031-3340

Mailing address

15 Tower CT Ste 265
Gurnee, IL 60031-3340
Phone (847) 623-8818

Other practice location 1

15 Tower Ct Ste 210
Gurnee, IL 60031-3355
Phone (847) 599-1444

Other identifiers 1

IdentifierTypeStateIssuer
036094708-1MedicaidIL

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
I20101209000038 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 7517154156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waukegan Clinic CorpGroup PAC ID 4284631086, 60 clinicians

Practice addresses (Care Compare)

15 Tower CT
Suite 265
Gurnee, IL 60031-3340
Phone (847) 360-9800

Hospital & facility affiliations

  • Vista Medical Center East Hospital, Waukegan, IL, CCN 140084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy35
Upper gastrointestinal (GI) endoscopy for acid reflux41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-094708ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waukegan Clinic Corp CurrentSince Jun 5, 2023 Accepting new patients
Rockford Health Physicians Current Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Jun 5, 2023 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

15 Tower Ct
Ste 265
Gurnee, IL 60031
Phone (847) 360-9800

15 Tower Ct
Ste 210
Gurnee, IL 60031
Phone (847) 599-1444

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

Interoperability endpoints

  • Direct secure messaging: peter.oshin.1@2069.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 3

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 1

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1093732331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TOWER CT STE 265",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313340",
            "telephone_number": "847-623-8818",
            "fax_number": "847-625-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TOWER CT STE 265",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313340",
            "telephone_number": "847-623-8818",
            "fax_number": "847-625-8059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Tower Ct Ste 210",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600313355",
            "country_code": "US",
            "telephone_number": "847-599-1444",
            "fax_number": "847-599-1665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSHIN",
        "first_name": "PETER",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036-094708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094708-1",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.