Active NPI
Richard M Wiet, M.D.
- Otology & Neurotology Physician
- Winfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otology & Neurotology Physician
- License
- 036119686
- Practice address
- 25 N Winfield Rd Ste 424
Winfield, IL 60190-1379 - Phone
- (630) 933-4056
- Fax
- (630) 933-4057
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otology & Neurotology Physician | 207YX0901X | 036119686 | IL | Primary |
| Otology & Neurotology Physician | 207YX0901X | 4301087453 | MI |
Addresses
Primary practice location
25 N Winfield Rd Ste 424
Winfield, IL 60190-1379
Mailing address
25 N Winfield Rd Ste 424
Winfield, IL 60190-1379
Phone (630) 933-4056
Other practice location 1
1611 W Harrison St
Suite 550
Chicago, IL 60612-4861
Phone (312) 942-6100
Other practice location 2
351 Delnor Dr Ste 401
Geneva, IL 60134-4235
Phone (630) 933-4056
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400280 | Other | IL | GROUP MEDICARE PTAN |
| 403270 | Other | IL | GROUP MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Northwestern University Feinberg Medical School, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
25 N Winfield Rd
Winfield, IL 60190-1379
Phone (630) 933-4056
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
- Northwestern Medicine Delnor Community Hospital
- Northwestern Medicine McHenry
- Northwestern Lake Forest Hospital
- Northwestern Memorial Hospital
- Marianjoy Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036119686 | IL | MD | Otology & Neurotology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Rush University Medical Group | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Adventist Health Partners, Inc | Past | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
1611 W Harrison St
Ste 550
Chicago, IL 60612
Phone (312) 563-4431
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
75 Remittance Dr
Dept 1611
Chicago, IL 60675
351 Delnor Dr
Ste 401
Geneva, IL 60134
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
25 N Winfield Rd
Ste 424
Winfield, IL 60190
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
9200 Calumet Ave
Ste 107
Munster, IN 46321
Interoperability endpoints
- rwiet12452@direct.rush.rush-health.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
dba Rush University Internists
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
IN
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
dba Hinsdale Primary Care
- Family Medicine Physician
- Hinsdale, IL
- NPI 1952339939
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
dba Northwestern Medicine Delnor Community Hospital
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
-
- Rehabilitation Hospital
- Wheaton, IL
- NPI 1083660658
Inpatient rehabilitation facility
-
dba Centegra Hospital McHenry
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
-
dba Northwestern Medicine Lake Forest Hospital
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1346315017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 N WINFIELD RD STE 424",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601901379",
"telephone_number": "630-933-4056",
"fax_number": "630-933-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N WINFIELD RD STE 424",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601901379",
"telephone_number": "630-933-4056",
"fax_number": "630-933-4057"
}
],
"practiceLocations": [
{
"address_1": "1611 W Harrison St",
"address_2": "Suite 550",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606124861",
"country_code": "US",
"telephone_number": "312-942-6100",
"fax_number": "312-942-6225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "351 Delnor Dr Ste 401",
"address_purpose": "LOCATION",
"city": "Geneva",
"state": "IL",
"postal_code": "601344235",
"country_code": "US",
"telephone_number": "630-933-4056",
"fax_number": "630-938-4370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIET",
"first_name": "RICHARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "IL",
"license": "036119686",
"primary": true
},
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "MI",
"license": "4301087453",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "400280",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "403270",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.