Active NPI
Peter Werner, M.D.
- Pulmonary Disease Physician
- Des Plaines, IL
National Provider Identifier
1114924347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036046395
- Practice address
- 150 N River Rd
Suite 210
Des Plaines, IL 60016-1272 - Phone
- (847) 759-4060
- Fax
- (847) 759-4066
- NPI assigned
- Jul 1, 2005
- Last updated
- Dec 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 036046395 | IL | Primary |
Addresses
Primary practice location
150 N River Rd
Suite 210
Des Plaines, IL 60016-1272
Mailing address
7607 Madison St
Forest Park, IL 60130-3513
Phone (708) 366-7177
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01605969 | Other | IL | BCBS |
| 036046395 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036046395 | IL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Home Visiting Physicians | Past | Accepting new patients | |
| Pulmonary Medicine Associates SC | Pulmonary Disease | Past | Accepting new patients |
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.
-
- General Practice Physician
- Des Plaines, IL
- NPI 1144525510
-
- Critical Care Medicine (Internal Medicine) Physician
- Melrose Park, IL
- NPI 1376576785
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1114924347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7607 MADISON ST",
"city": "FOREST PARK",
"state": "IL",
"postal_code": "601303513",
"telephone_number": "708-366-7177",
"fax_number": "708-366-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N RIVER RD",
"address_2": "SUITE 210",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600161272",
"telephone_number": "847-759-4060",
"fax_number": "847-759-4066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036046395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01605969",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036046395",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.