Active NPI
Paul Nemeth, DO
- Emergency Medicine Physician
- Glendale Heights, IL
National Provider Identifier
1417907577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 36090957
- Practice address
- 701 Winthrop Ave
Glendale Heights, IL 60139-1405 - Phone
- (630) 545-5700
- Fax
- (630) 545-5784
- NPI assigned
- May 11, 2006
- Last updated
- Feb 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 36090957 | IL | Primary |
Addresses
Primary practice location
701 Winthrop Ave
Glendale Heights, IL 60139-1405
Mailing address
701 Winthrop Ave
Glendale Heights, IL 60139-1405
Phone (630) 545-5700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K53235 | Other | IL | MEDICARE PTAN |
| 1811997885 | Other | IL | GROUP NPI |
| 762690 | Other | IL | GROUP MEDICARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pnemeth57386@direct.luhs.org | Other | LOYOLA UNIVERSITY MEDICAL CENTER |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36090957 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients |
Locations
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
Organizations & group practices 1
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.
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1417907577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 WINTHROP AVE",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601391405",
"telephone_number": "630-545-5700",
"fax_number": "630-545-5784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 WINTHROP AVE",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601391405",
"telephone_number": "630-545-5700",
"fax_number": "630-545-5784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMETH",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "36090957",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "K53235",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1811997885",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "762690",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pnemeth57386@direct.luhs.org",
"affiliation": "Y",
"affiliationName": "LOYOLA UNIVERSITY MEDICAL CENTER",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "2160 S 1st Ave",
"city": "Maywood",
"state": "IL",
"country_code": "US",
"postal_code": "601533328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glendale Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.