Individual provider Active NPI

Brian Joel Weinstein, NP

  • Adult Health Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1366676090
Registry record updated Feb 10, 2022
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209.007535 Issued in IL
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

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
209.007535OtherILNURSE 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. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.007535ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weinstein Medical Group Adult Health Current Accepting new patients
Suburban Home Physicians,LLC Past Accepting new patients
Family Home Care Physicians LLC PastSince Jan 12, 2013 Accepting new patients
Vpa PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.