Olusoji Anthony Peter, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01056426A Issued in IN

Practice address

11000 S Halsted St
Chicago, IL 60628-3909

Phone

(219) 750-9389

NPI assigned

Jan 18, 2006

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 IN, IL2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

May accept Medicare assignment

Group practices

Vital Signs Wellness LLCGroup PAC ID 4183958978, 4 clinicians

Forever Care Home Visiting Physicians IncGroup PAC ID 1850631912, 14 clinicians

Lakeshore Home Visiting PhysiciansGroup PAC ID 8123497963, 2 clinicians

New Southtown Medical Group S CGroup PAC ID 0547572349, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Francis of Assisi Healthcare, Inc Home health agency, Darien, IL, CCN 148241
• Visiting Nurses of Illinois Inc Home health agency, Chicago, IL, CCN 148384
• Regal Home Healthcare, Inc Home health agency, Darien, IL, CCN 148155
• Victorious Home Health Agency Home health agency, Frankfort, IL, CCN 148323
• Astra Health Home health agency, Harwood Heights, IL, CCN 148259
• Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
• St Bernard Hospital Hospital, Chicago, IL, CCN 140103

Merit-based Incentive Payment System (MIPS)

Final score

68.65 of 100Reported as group

Quality

52.24

Promoting interoperability

42

Improvement activities

40

Cost

58.26

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3342/brand/1/csg/1/fhir/r4

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.

• Forever Care Home Visiting Physicians Inc

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
  • NPI 1851865364
  Medicare reassignment Care Compare group NPD
• Lakeshore Home Visiting Physicians

  • Home Health Agency
  • Chicago, IL
  • NPI 1063152734
  Medicare reassignment Care Compare group NPD
• New Southtown Medical Group S C

  • Family Medicine Physician
  • Darien, IL
  • NPI 1134508997
  Medicare reassignment Care Compare group NPD
• Vital Signs Wellness, LLC

  • Family Medicine Physician
  • Schaumburg, IL
  • NPI 1528538600
  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment
• Illinois Urgent Care Professionals PLLC

  • Family Medicine Physician
  • Homewood, IL
  • NPI 1215407812
  NPD
• Community Health Providers PLLC

  • Family Medicine Physician
  • Homewood, IL
  • NPI 1184546467
  NPD (past)
• Housecall Physicians of Illinois

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1144568072
  NPD (past)

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

• Cardinal Homehealth Inc

  • Home Health Agency
  • Harwood Heights, IL
  • NPI 1518108703
  Care Compare affiliation
• Central Dupage Hospital Association

  • General Acute Care Hospital
  • Winfield, IL
  • NPI 1003864810
  Care Compare affiliation
• Central Dupage Hospital Association

  • Psychiatric Hospital Unit
  • Winfield, IL
  • NPI 1740230895
  Care Compare affiliation
• Regal Home Healthcare, Inc.

  • Home Health Agency
  • Darien, IL
  • NPI 1346402708
  Care Compare affiliation
• St. Bernard Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811034291
  Care Compare affiliation
• St. Francis of Assisi Healthcare, Inc.

  • Home Health Agency
  • Des Plaines, IL
  • NPI 1568777456
  Care Compare affiliation
• Victorious Home Health Care Limited

  • Home Health Agency
  • Chicago Heights, IL
  • NPI 1669606695
  Care Compare affiliation
• Visiting Nurses of Illinois, Inc.

  • Home Health Agency
  • Chicago, IL
  • NPI 1578114716
  Care Compare affiliation

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1225018203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283909",
            "telephone_number": "219-750-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283909",
            "telephone_number": "219-750-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETER",
        "first_name": "OLUSOJI",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01056426A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200396310",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000248273",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter S. Petrovas D.C. L.T.D.
• Peter Sternberg, L.C.S.W., P.C.
• Peter William McManus, D.C. LLC
• Lily Peter, L.C.S.W.
• Merlene Peter
• Shayna Peter
• Jennifer Joan Peterlin, RN, MSN, AGNP
• Fiona Peterman, PA-C
• Reanna Peterman, MS, RDN, LDN
• Andrew C Peters, MD

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.