Individual provider Active NPI

Justin I Weiner, DO

  • Pulmonary Disease Physician
  • Palos Heights, IL
National Provider Identifier
1356501894
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036165018 Issued in IL
Practice address
12251 S 80TH Ave Ste 1780
Palos Heights, IL 60463-1290
Phone
(708) 923-3420
Fax
(708) 923-3399
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 256725 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036165018 IL
Pulmonary Disease Physician 207RP1001X 256725 NY
Pulmonary Disease Physician 207RP1001X 036165018 IL Primary

Addresses

Primary practice location

12251 S 80TH Ave Ste 1780
Palos Heights, IL 60463-1290

Mailing address

12251 S 80TH Ave Ste 1780
Palos Heights, IL 60463-1290
Phone (708) 923-3420

Other practice location 1

1 Dakota Dr Ste 220
New Hyde Park, NY 11042-1136
Phone (516) 608-2890

Other practice location 2

3 School St Ste 304
Glen Cove, NY 11542-2548
Phone (516) 608-2890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL2 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
I20130731000253 NY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6709027980 Reassigns benefits to 4 organizations
I20230705001469 IL Practitioner - Pulmonary Disease 6709027980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

12251 S 80TH Ave
Palos Heights, IL 60463-1290
Phone (708) 923-5869

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Queens Medicine and Surgery, P.C. CurrentSince Mar 1, 2020 Accepting new patients
Central Dupage Physician Group CurrentSince Jun 19, 2023 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Mar 1, 2020 Accepting new patients
Nassau Pulmonary & Critical Care Medicine PC CurrentSince Jul 15, 2013 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Mar 1, 2020 Accepting new patients
Central Dupage Physician Group CurrentSince Jun 19, 2023 Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

1001 Commerce Dr
Ste 500
Oak Brook, IL 60523
Phone (331) 732-4490

12251 S 80th Ave
Ste 1780
Palos Heights, IL 60463
Phone (708) 923-3420

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

891 Northern Blvd
Ste 203
Great Neck, NY 11021
Phone (516) 773-6300

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

Philadelphia, PA 19195

Organizations & group practices 9

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 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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1356501894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE STE 1780",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631290",
            "telephone_number": "708-923-3420",
            "fax_number": "708-923-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE STE 1780",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631290",
            "telephone_number": "708-923-3420",
            "fax_number": "708-923-3399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Dakota Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110421136",
            "country_code": "US",
            "telephone_number": "516-608-2890",
            "fax_number": "516-608-2891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 School St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Glen Cove",
            "state": "NY",
            "postal_code": "115422548",
            "country_code": "US",
            "telephone_number": "516-608-2890",
            "fax_number": "516-608-2891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINER",
        "first_name": "JUSTIN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "256725",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036165018",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "256725",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036165018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.