Neill T Peters, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Practice address

5525 S Pulaski Rd
Chicago, IL 60629-4417

Phone

(773) 585-1955

Fax

(773) 284-5268

NPI assigned

Dec 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Dermatology

Education

University of Michigan Medical School, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Dermatology Associates of Chicago LTDGroup PAC ID 0042539702, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Medical Dermatology Associates of Chicago, LTD

  • Dermatology Physician
  • Chicago, IL
  • NPI 1801285929
  Medicare reassignment Care Compare group
• Pathology Consultants of Chicago, LTD.

  • Anatomic Pathology & Clinical Pathology Physician
  • Chicago, IL
  • NPI 1689690562
  NPD
• Edna Richard M D

  • Gynecology Physician
  • Chicago, IL
  • NPI 1841405396
  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215912795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "address_2": "B-390",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162333",
            "telephone_number": "312-567-6691",
            "fax_number": "312-328-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294417",
            "telephone_number": "773-585-1955",
            "fax_number": "773-284-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "NEILL",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095483 / 03",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "01621679",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan David Peters, MA, LPCC, LADC
• Kelly Ann Peters, LCPC
• Kerry Peters, OTR/L
• Kolawole Peters
• Kristin Marie Peters, LCPC, LPC, SAC
• Sajel Tripathi Peters
• Sarah A Peters, LCPC
• Vanessa Peters, MD
• William Peters, RPH
• Anna Petersen, MD

• Dermatology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.