Individual provider Active NPI

Michael Peter Weisberg, M.D.

  • Ophthalmology Physician
  • Calumet City, IL
National Provider Identifier
1205097607
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-123299 Issued in IL
Practice address
1700 East West Road
Calumet City, IL 60409
Phone
(708) 891-3330
Fax
(708) 891-0904
NPI assigned
Jun 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 241050 NY
Ophthalmology Physician 207W00000X 036-123299 IL Primary

Addresses

Primary practice location

1700 East West Road
Calumet City, IL 60409

Mailing address

1700 East West Road
Calumet City, IL 60409
Phone (708) 891-3330

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
I20090710000534 IL Practitioner - Ophthalmology 9133271802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Eyecare Physicians PCGroup PAC ID 6103830096, 3 clinicians

Practice addresses (Care Compare)

1161 Church St
Northbrook, IL 60062-3601
Phone (847) 564-2020

645 N Michigan Ave
Suite 210
Chicago, IL 60611-2825
Phone (312) 787-2020

Merit-based Incentive Payment System (MIPS)

Final score
31.82 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
79.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery216

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-123299ILMDOphthalmology Physician
241050NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Eyecare Physicians PC Ophthalmology CurrentSince Mar 1, 2019 Accepting new patients

Locations

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

645 N Michigan Ave
Ste 210
Chicago, IL 60611
Phone (312) 787-2020

100 W Calendar Ave
Lagrange Hlds, IL 60525
Phone (708) 354-0500

307 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-3444

1917 Cherry Ln
Northbrook, IL 60062
Phone (847) 564-2020

7026 W 159th St
Orland Park, IL 60462
Phone (708) 687-0600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1205097607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 EAST WEST ROAD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "60409",
            "telephone_number": "708-891-3330",
            "fax_number": "708-891-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 EAST WEST ROAD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "60409",
            "telephone_number": "708-891-3330",
            "fax_number": "708-891-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBERG",
        "first_name": "MICHAEL",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "241050",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-123299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calumet City, IL

Sources for this page

Verify at the official NPI Registry.