Individual provider Active NPI

Robert Alan Winiecki, M.D.

  • Internal Medicine Physician
  • Lisle, IL
National Provider Identifier
1215985155
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
1500 Eisenhower LN
Suite 700
Lisle, IL 60532-2125
Phone
(630) 964-1844
Fax
(630) 964-1977
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

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

Addresses

Primary practice location

1500 Eisenhower LN
Suite 700
Lisle, IL 60532-2125

Mailing address

1500 Eisenhower LN
Suite 700
Lisle, IL 60532-2125
Phone (630) 964-1844

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
I20070717000118 IL Practitioner - Internal Medicine 2961502174 Practice locations: Lisle, IL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Chicago, Pritzker School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1500 Eisenhower Lane
Suite 700
Lisle, IL 60532-2135
Phone (630) 964-1844

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

  • Residential Home Health Home health agency, Lisle, IL, CCN 147568
  • Edward Hospital Hospital, Naperville, IL, CCN 140231
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-074941ILMDInternal Medicine Physician

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215985155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 EISENHOWER LN",
            "address_2": "SUITE 700",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322125",
            "telephone_number": "630-964-1844",
            "fax_number": "630-964-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EISENHOWER LN",
            "address_2": "SUITE 700",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322125",
            "telephone_number": "630-964-1844",
            "fax_number": "630-964-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINIECKI",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

Verify at the official NPI Registry.