Individual provider Active NPI

Richard M Wiet, M.D.

  • Otology & Neurotology Physician
  • Winfield, IL
National Provider Identifier
1346315017
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
036119686 Issued in IL
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

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
400280OtherILGROUP MEDICARE PTAN
403270OtherILGROUP MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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

Enrollment IDStateProvider typePAC IDDetails
I20081120000807 IL Practitioner - Otolaryngology 9436251733 Reassigns benefits to 2 organizations
I20221230000245 IN Practitioner - Otolaryngology 9436251733 Reassigns benefits to 1 organization

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036119686ILMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Aug 28, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 28, 2023 Accepting new patients
Rush University Medical Group CurrentSince Jan 14, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.