Active NPI
Peter Herbert Neale, D.O.
- Family Medicine Physician
- Lansing, IL
National Provider Identifier
1205803483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036073399
- Practice address
- 18127 William St
Lansing, IL 60438-3921 - Phone
- (708) 889-6621
- Fax
- (708) 889-6675
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02002162A | IN | |
| Family Medicine Physician | 207Q00000X | 036073399 | IL | Primary |
Addresses
Primary practice location
18127 William St
Lansing, IL 60438-3921
Mailing address
27702 Network PL
Chicago, IL 60673-1277
Phone (708) 862-7674
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231199029 | Other | IL | MEDICARE |
| 080096730 | Other | IL | RRM |
| 036073399 | 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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02002162A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Ingalls Memorial Hospital | Past | Accepting new patients | |
| The Ingalls Memorial Hospital | Past | Accepting new patients | |
| Ingalls Memorial Hospital | Past | Accepting new patients | |
| Ingalls Memorial Hospital | Past | Accepting new patients | |
| Ingalls Memorial Hospital | Past | Accepting new patients | |
| Ingalls Memorial Hospital | Past | Accepting new patients | |
| Ingalls Memorial Hospital | Past | Accepting new patients | |
| The Ingalls Memorial Hospital | Past | Accepting new patients | |
| Ingalls Memorial Hospital | Past | Accepting new patients | |
| Ingalls Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 10
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.
-
- Rehabilitation Hospital Unit
- Harvey, IL
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-
- General Acute Care Hospital
- Harvey, IL
- NPI 1174871131
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1265784193
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1548518509
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1598756686
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1720336787
-
- Physical Therapy Clinic/Center
- Harvey, IL
- NPI 1871841841
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1821185364
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1841387388
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1932296472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1205803483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27702 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731277",
"telephone_number": "708-862-7674",
"fax_number": "708-862-1781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18127 WILLIAM ST",
"city": "LANSING",
"state": "IL",
"postal_code": "604383921",
"telephone_number": "708-889-6621",
"fax_number": "708-889-6675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEALE",
"first_name": "PETER",
"middle_name": "HERBERT",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02002162A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036073399",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "231199029",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRM",
"identifier": "080096730",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036073399",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.