Active NPI
Brian Joel Weinstein, NP
- Adult Health Nurse Practitioner
- Skokie, IL
National Provider Identifier
1366676090
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 18, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 209.007535
- Practice address
- 8019 Ridgeway Ave
Skokie, IL 60076-3408 - Phone
- (224) 341-5206
- Fax
- (847) 787-1556
- NPI assigned
- May 10, 2009
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209007535 | IL | |
| Adult Health Nurse Practitioner | 363LA2200X | 209.007535 | IL | Primary |
Addresses
Primary practice location
8019 Ridgeway Ave
Skokie, IL 60076-3408
Mailing address
8019 Ridgeway Ave
Skokie, IL 60076-3408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209.007535 | Other | IL | NURSE PRACTITIONER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.007535 | IL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weinstein Medical Group | Adult Health | Current | Accepting new patients |
| Suburban Home Physicians,LLC | Past | Accepting new patients | |
| Family Home Care Physicians LLC | Past | Accepting new patients | |
| Vpa PC | Past | Accepting new patients |
Interoperability endpoints
- brian.weinstein@262839453810692.direct.elationemr.com
Organizations & group practices 4
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.
-
- Adult Health Nurse Practitioner
- Chicago, IL
- NPI 1366100109
-
- Internal Medicine Physician
- Oak Forest, IL
- NPI 1699092429
-
- Internal Medicine Physician
- Schaumburg, IL
- NPI 1770722407
-
- Family Medicine Physician
- Oakbrook Terrace, IL
- NPI 1174925663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1366676090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8019 RIDGEWAY AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600763408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8019 RIDGEWAY AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600763408",
"telephone_number": "224-341-5206",
"fax_number": "847-787-1556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINSTEIN",
"first_name": "BRIAN",
"middle_name": "JOEL",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-10",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209007535",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209.007535",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER",
"identifier": "209.007535",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.