Active NPI
Janice Marea Pierson, M.D.
- Internal Medicine Physician
- Palos Heights, IL
National Provider Identifier
1255329546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036088112
- Practice address
- 12800 S Ridgeland Ave
Palos Heights, IL 60463-2390 - Phone
- (708) 293-7004
- Fax
- (773) 694-5230
- NPI assigned
- Oct 11, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01046761A | IN | |
| Internal Medicine Physician | 207R00000X | 036088112 | IL | Primary |
Addresses
Primary practice location
12800 S Ridgeland Ave
Palos Heights, IL 60463-2390
Mailing address
12800 S Ridgeland Ave
Palos Heights, IL 60463-2390
Phone (708) 293-7004
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpierson@immpactnow.com | Direct | |
| Direct Messaging Address | jpierson@immpactnow.com | Direct | |
| Direct Messaging Address | jpierson278514@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01046761A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A & S Divine Healthcare Services PLLC | Current | Accepting new patients | |
| Asad Zaman MD SC | Internal Medicine | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Past | Accepting new patients |
Locations
1477 Ring Rd
Calumet City, IL 60409
Phone (708) 868-3309
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
6700 167th St
Ste 5
Tinley Park, IL 60477
Phone (708) 429-3700
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Tinley Park, IL
- NPI 1356393557
-
- Family Nurse Practitioner
- Calumet City, IL
- NPI 1215519038
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1255329546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12800 S RIDGELAND AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604632390",
"telephone_number": "708-293-7004",
"fax_number": "773-694-5230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12800 S RIDGELAND AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604632390",
"telephone_number": "708-293-7004",
"fax_number": "773-694-5230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERSON",
"first_name": "JANICE",
"middle_name": "MAREA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-11",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01046761A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036088112",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpierson@immpactnow.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "12800 S Ridgeland Ave",
"city": "Palos Heights",
"state": "IL",
"country_code": "US",
"postal_code": "604632390",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpierson@immpactnow.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "12800 S Ridgeland Ave",
"city": "Palos Heights",
"state": "IL",
"country_code": "US",
"postal_code": "604632390",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpierson278514@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "12800 S Ridgeland Ave",
"city": "Palos Heights",
"state": "IL",
"country_code": "US",
"postal_code": "604632390",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "12800 S Ridgeland Ave",
"city": "Palos Heights",
"state": "IL",
"country_code": "US",
"postal_code": "604632390",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Palos Heights, IL
- Phe Skilled Nursing Facility LLC (Avantara Palos Heights)
- PHW Skilled Nursing Facility LLC (Harmony Palos)
- Physician Diagnostic and Pathology (Associated Urological Spec)
- Physiotherapy Associates Inc (The Pediatric Place)
- Lauren Piccirillo, FNP-C
- Don Piha Jr., RPH
- Pillar Bella Corporation (Assisting Hands Palos)
- Natalie Pitaro, M.D.
- Piyush C. Buch, M.D., P.C.
- Play on Speech Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.