Active NPI
Andrew James Wiele, DO
- Hematology & Oncology Physician
- Elmhurst, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 036.156259
- Practice address
- 177 E Brush Hill Rd
Elmhurst, IL 60126-5658 - Phone
- (630) 646-2273
- NPI assigned
- Jun 5, 2014
- Last updated
- Jul 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 11017728A | IN | |
| Hematology & Oncology Physician | 207RH0003X | 036.156259 | IL | Primary |
Addresses
Primary practice location
177 E Brush Hill Rd
Elmhurst, IL 60126-5658
Mailing address
177 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 646-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036.156259 | Other | IL | IL MEDICAL LICENSE NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-0096
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.156259 | IL | MD | Hematology & Oncology Physician |
| 11017728A | IN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Multi-Specialty | Current | Accepting new patients |
| Endeavor Health Medical Group | Multi-Specialty | Current | Accepting new patients |
| Edward Health Ventures | Current | Accepting new patients | |
| Edward Health Ventures | Multi-Specialty | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521
177 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-5678
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730
120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575
Interoperability endpoints
- awiele233354@direct.edward.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Allergy & Immunology Physician
- Evanston, IL
- NPI 1497701882
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Bolingbrook, IL
- NPI 1962452912
-
- Clinic/Center
- Warrenville, IL
- NPI 1841559515
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
Multi-Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Edward Hospital
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
dba Endeavor Health Elmhurst Hospital
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
-
dba Endeavor Health Swedish Hospital
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1447663539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 E BRUSH HILL RD",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265658",
"telephone_number": "630-646-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 E BRUSH HILL RD",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265658",
"telephone_number": "630-646-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIELE",
"first_name": "ANDREW",
"middle_name": "JAMES",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-05",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11017728A",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "036.156259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL MEDICAL LICENSE NUMBER",
"identifier": "036.156259",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.