Matthias Peuster, M.D., PHD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

113000057 Issued in IL

Practice address

5841 S Maryland Ave
K355, MC 4051
Chicago, IL 60637-1447

Phone

(773) 705-4475

Fax

(773) 834-3795

NPI assigned

Apr 12, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1154647550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 S BLACKSTONE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371833",
            "telephone_number": "773-702-1022",
            "fax_number": "773-834-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "address_2": "K355, MC 4051",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-705-4475",
            "fax_number": "773-834-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEUSTER",
        "first_name": "MATTHIAS",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-12",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "113000057",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IL",
            "license": "113000057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lou Petty, MSW LCSW
• Janese London Petuchowski, OT
• Amy Elizabeth Petzel, M.D.
• Sarah J Petzel
• Alex Peuser, MT-BC
• Janet Pevsner
• Yasaman Nicole Peyjam, DMD
• Shaina Peysin, LSW
• Alexander Aerfon Pezeshki, MD
• Arash Pezeshkpoor

• Pediatric Cardiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Cardiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.