Individual provider Active NPI

Peter Bill Petratos, MD

  • Surgery Physician
  • Naperville, IL
National Provider Identifier
1487612297
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036111893 Issued in IL
Practice address
1948 Three Farms Ave
Naperville, IL 60540-1105
Phone
(630) 355-5633
Fax
(630) 355-5215
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036111893 IL Primary
Trauma Surgery Physician 2086S0127X 036111893 IL

Addresses

Primary practice location

1948 Three Farms Ave
Naperville, IL 60540-1105

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone (847) 570-2040

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ppetratos37258@direct.edward.org Direct

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
I20050107000127 IL Practitioner - General SurgeryPractitioner - Other (Physician) 2466400361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Colorado School of Medicine, Denver, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1948 Three Farms Ave
Naperville, IL 60540-1105
Phone (630) 355-5668

24600 W 127TH St
Plainfield, IL 60585-9507

2650 Ridge Ave
Evanston, IL 60201-1700

76 W Countryside Pkwy
Yorkville, IL 60560-1967
Phone (630) 553-2722

801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-5197

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)29
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036111893ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Dec 7, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 7, 2023 Accepting new patients
Edward Health Ventures CurrentSince Aug 1, 2015 Accepting new patients
Edward Health Ventures CurrentSince Aug 1, 2015 Accepting new patients
Trauma One,LLC Past Accepting new patients
Trauma and Surgical Specialists of Dupage, LLC Surgery PastSince Jan 1, 2007 Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients
Dupage Medical Group LTD Past Accepting new patients

Locations

130 N Weber Rd
Ste 100
Bolingbrook, IL 60440
Phone (630) 232-7300

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

1948 Three Farms Ave
Naperville, IL 60540
Phone (630) 355-5633

10 Martin Ave
Ste 225
Naperville, IL 60540
Phone (630) 284-9118

120 Spalding Dr
Naperville, IL 60540
Phone (630) 527-5575

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

24600 W 127th St
Ste B215
Plainfield, IL 60585
Phone (630) 355-5688

16519 S Route 59
Plainfield, IL 60586
Phone (630) 646-5020

24600 W 127th St
Ste B100
Plainfield, IL 60585
Phone (815) 731-9000

24600 W 127th St
Ste B200
Plainfield, IL 60585
Phone (630) 355-5633

24600 W 127th St
Ste B210
Plainfield, IL 60585

Interoperability endpoints

  • Direct secure messaging: ppetratos37258@direct.edward.org

Organizations & group practices 8

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 2

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1487612297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE STE 1223",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-570-2040",
            "fax_number": "847-733-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 THREE FARMS AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401105",
            "telephone_number": "630-355-5633",
            "fax_number": "630-355-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRATOS",
        "first_name": "PETER",
        "middle_name": "BILL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036111893",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "IL",
            "license": "036111893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ppetratos37258@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "10 Martin Ave",
            "address_2": "Suite 225",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.