Individual provider Active NPI

Susan G Vierling, M.D.

  • Ophthalmology Physician
  • Lombard, IL
National Provider Identifier
1306825930
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036091886 Issued in IL
Practice address
130 S Main St
Suite 303
Lombard, IL 60148-2670
Phone
(630) 424-9877
Fax
(630) 424-9878
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036091886 IL Primary

Addresses

Primary practice location

130 S Main St
Suite 303
Lombard, IL 60148-2670

Mailing address

172 Clinton Ave
Elmhurst, IL 60126-2907

Other identifiers 4

IdentifierTypeStateIssuer
K1444OtherILMEDICARE PROVIDER NUMBER
036091886MedicaidIL
0031600193OtherILBLUE SHIELD
P00251102OtherILRAILROAD MEDICARE

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
I20050208000340 IL Practitioner - Ophthalmology 3274584297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Institute of Illinois PCGroup PAC ID 1153320973, 9 clinicians

Practice addresses (Care Compare)

8780 W Golf Rd
Suite 304
Niles, IL 60714-5611
Phone (847) 297-8900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036091886ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of Illinois PC Ophthalmology CurrentSince Jan 19, 2024 Accepting new patients
Retina Vitreous Associates, PC Ophthalmology PastSince Dec 12, 2008 Accepting new patients
West Suburban Eye Associates LLC Past Accepting new patients
Retina Associates, PC Ophthalmology PastSince Apr 1, 1993 Accepting new patients
North Indiana Retina LLC Ophthalmology Past Accepting new patients

Locations

820 E Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 444-1330

820 E Terra Cotta Ave
Ste 247
Crystal Lake, IL 60014
Phone (815) 788-1000

1435 N Randall Rd
Ste 401
Elgin, IL 60123
Phone (630) 424-9877

1585 N Barrington Rd
Ste 404
Hoffman Estates, IL 60169
Phone (847) 755-9393

130 S Main St
Ste 303
Lombard, IL 60148
Phone (630) 424-9877

8780 W Golf Rd
Ste 304
Niles, IL 60714
Phone (847) 297-8900

8780 W Golf Rd
Ste 102
Niles, IL 60714
Phone (847) 298-4590

715 Lake St
Ste 120
Oak Park, IL 60301
Phone (708) 358-0701

Interoperability endpoints

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

Organizations & group practices 5

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 1

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1306825930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 CLINTON AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "address_2": "SUITE 303",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482670",
            "telephone_number": "630-424-9877",
            "fax_number": "630-424-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIERLING",
        "first_name": "SUSAN",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036091886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "K1444",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036091886",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0031600193",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00251102",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.