Individual provider Active NPI

Peter C Rantis, M.D.

  • Specialist
  • Hoffman Estates, IL
National Provider Identifier
1306806682
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036085415 Issued in IL
Practice address
4885 Hoffman Blvd
Suite 400
Hoffman Estates, IL 60192-3726
Phone
(847) 255-9697
Fax
(847) 255-3206
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036085415 IL Primary

Addresses

Primary practice location

4885 Hoffman Blvd
Suite 400
Hoffman Estates, IL 60192-3726

Mailing address

4885 Hoffman Blvd
Suite 400
Hoffman Estates, IL 60192-3726
Phone (847) 255-9697

Other identifiers 1

IdentifierTypeStateIssuer
036085415MedicaidIL

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
I20080613000521 IL Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 7810959418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Surgical Care Specialists SCGroup PAC ID 7113992918, 11 clinicians

Practice addresses (Care Compare)

4885 Hoffman Blvd
Suite 400
Hoffman Estates, IL 60192-3727
Phone 84725596972668

Hospital & facility affiliations

  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy55
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux27
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036085415ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Surgical Care Specialists, S.C. CurrentSince Jul 30, 1999 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

800 Biesterfield Rd
Ste 555
Elk Grove Village, IL 60007
Phone (847) 255-9697

4885 Hoffman Blvd
Ste 400
Hoffman Estates, IL 60192
Phone (847) 255-9697

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAEDBA

Organizations & group practices 2

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 4

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1306806682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 HOFFMAN BLVD",
            "address_2": "SUITE 400",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923726",
            "telephone_number": "847-255-9697",
            "fax_number": "847-255-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 HOFFMAN BLVD",
            "address_2": "SUITE 400",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923726",
            "telephone_number": "847-255-9697",
            "fax_number": "847-255-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANTIS",
        "first_name": "PETER",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036085415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085415",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.