Individual provider Active NPI

Glenn I Weiner, DO

  • Rheumatology Physician
  • Elk Grove Village, IL
National Provider Identifier
1437295144
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
036053094 Issued in IL
Practice address
800 Biesterfield Rd
Suite 4003
Elk Grove Village, IL 60007-3668
Phone
(847) 364-0800
Fax
(847) 364-0854
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 036053094 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd
Suite 4003
Elk Grove Village, IL 60007-3668

Mailing address

800 Biesterfield Rd
Suite 4003
Elk Grove Village, IL 60007-3361
Phone (847) 364-0800

Other identifiers 2

IdentifierTypeStateIssuer
21608486OtherILBLUE CROSS BLUE SHIELD
036053094MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gweiner236496@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20040120000235 IL Practitioner - RheumatologyPractitioner - Internal Medicine 9638070840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Chicago College of Osteopathy, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Rheumatology Specialists SCGroup PAC ID 6103727482, 6 clinicians

Practice addresses (Care Compare)

800 Biesterfield Rd
Suite 4003
Elk Grove Village, IL 60007-3371
Phone (847) 364-0800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.73 of 100Reported as individual
Quality
95.46
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Rheumatology Specialists, S.C. Rheumatology CurrentSince Oct 1, 2003 Accepting new patients
Northwest Rheumatology Specialist II LLC Rheumatology Past Accepting new patients

Locations

27750 W Highway 22
Ste 250
Barrington, IL 60010
Phone (847) 364-0800

800 Biesterfield Rd
Ste 3007
Elk Grove Vlg, IL 60007
Phone (847) 301-1377

800 Biesterfield Rd
Ste 4003
Elk Grove Vlg, IL 60007
Phone (847) 364-0800

1000 Hart Rd
Ste 220
Lake Barrington, IL 60010
Phone (847) 364-0800

Interoperability endpoints

  • Direct secure messaging: glenn.weiner.p1@direct.nwrheum.nextgenshare.com

Organizations & group practices 2

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 6

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1437295144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 4003",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "847-364-0800",
            "fax_number": "847-364-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 4003",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073668",
            "telephone_number": "847-364-0800",
            "fax_number": "847-364-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "GLENN",
        "middle_name": "I",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036053094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21608486",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053094",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gweiner236496@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "800 Biesterfield Rd",
            "address_2": "Suite 4003",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600073668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "800 Biesterfield Rd",
            "address_2": "Suite 4003",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600073668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.