Individual provider Active NPI

Peter Jurgen Kiefer, MD

  • Family Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1386688158
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036059034 Issued in IL
Practice address
150 N River Rd Ste 110
Des Plaines, IL 60016-1272
Phone
(847) 342-8956
Fax
(847) 342-8958
NPI assigned
Jun 15, 2006
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036059034 IL Primary

Addresses

Primary practice location

150 N River Rd Ste 110
Des Plaines, IL 60016-1272

Mailing address

1000 Remington Blvd Ste 100
Bolingbrook, IL 60440-4707

Other practice location 1

1792 E Oakton
Des Plaines, IL 60018
Phone (847) 827-4496

Other practice location 2

7447 W Talcott Ave Ste 216
Chicago, IL 60631-3713
Phone (773) 631-0566

Other identifiers 1

IdentifierTypeStateIssuer
036059034MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pkiefer16566@ce-direct.presencehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000253 IL Practitioner - Family Practice 6507841764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians
Primary Care Providers of Chicago SCGroup PAC ID 1759465636, 8 clinicians

Practice addresses (Care Compare)

100 N River Rd
Des Plaines, IL 60016-1209
Phone (847) 297-1800

150 N River Rd
Suite 110
Des Plaines, IL 60016-1272
Phone (847) 342-8956

7447 W Talcott Ave
Suite 216
Chicago, IL 60631-3713
Phone (773) 631-0566

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Illinois Medical Group LLC Family Medicine CurrentSince Jun 29, 2025 Accepting new patients
Peter J Kiefer MD LTD Family Medicine CurrentSince Apr 1, 2004 Accepting new patients
Primary Care Providers of Chicago SC Family Medicine CurrentSince Jan 18, 2026 Accepting new patients

Locations

1801 W Olympic Blvd
#2636
Pasadena, CA 91199

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780

7447 W Talcott Ave
Ste 216
Chicago, IL 60631
Phone (312) 631-0566

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

150 N River Rd
Ste 110
Des Plaines, IL 60016
Phone (847) 342-8956

1792 E Oakton St
Des Plaines, IL 60018
Phone (847) 827-4496

201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350

Interoperability endpoints

  • Direct secure messaging: pkiefer16566@ce-direct.presencehealth.org

Organizations & group practices 3

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 5

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1386688158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REMINGTON BLVD STE 100",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404707",
            "fax_number": "630-914-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD STE 110",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-342-8956",
            "fax_number": "847-342-8958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1792 E Oakton",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "60018",
            "country_code": "US",
            "telephone_number": "847-827-4496",
            "fax_number": "847-827-1256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7447 W Talcott Ave Ste 216",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606313713",
            "country_code": "US",
            "telephone_number": "773-631-0566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIEFER",
        "first_name": "PETER",
        "middle_name": "JURGEN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036059034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036059034",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkiefer16566@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "150 N River Rd Ste 110",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600161272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.