Organization Active NPI

Iatros, M.D.,S.C.

Doing business as Peter C. Roumeliotis, M.D.

  • Internal Medicine Physician
  • Morris, IL
National Provider Identifier
1154369262
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IATROS, M.D.,S.C.
Doing business as
Peter C. Roumeliotis, M.D.
Practice address
1300 Dresden Dr
Morris, IL 60450-2476
Phone
(815) 942-5200
Fax
(815) 943-5330
NPI assigned
Jun 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary M. Smith
Title
Biller/Coder
Phone
(815) 942-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

1300 Dresden Dr
Morris, IL 60450-2476

Mailing address

1300 Dresden Dr
Morris, IL 60450-2476
Phone (815) 942-5200

Other identifiers 2

IdentifierTypeStateIssuer
0003204876OtherILBLUE CROSS BLUE SHIELD
020475OtherILHEALTH ALLIANCE

Other names 1

  • Peter C. Roumeliotis, M.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154369262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 DRESDEN DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502476",
            "telephone_number": "815-942-5200",
            "fax_number": "815-942-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 DRESDEN DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502476",
            "telephone_number": "815-942-5200",
            "fax_number": "815-943-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IATROS, M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "BILLER/CODER",
        "authorized_official_telephone_number": "815-942-5200"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0003204876",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "020475",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peter C. Roumeliotis, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.