Individual provider Active NPI

Peter A Lio, M.D.

  • Dermatology Physician
  • Chicago, IL
National Provider Identifier
1497787923
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036120840 Issued in IL
Practice address
363 W Erie St # 350
Chicago, IL 60654-6903
Phone
(312) 995-1955
Fax
(312) 995-1956
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036120840 IL Primary
Dermatology Physician 207N00000X 222029 MA

Addresses

Primary practice location

363 W Erie St # 350
Chicago, IL 60654-6903

Mailing address

363 W Erie St # 350
Chicago, IL 60654-6903
Phone (312) 995-1955

Other identifiers 1

IdentifierTypeStateIssuer
2101700MedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address plio255128@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
I20081029000921 IL Practitioner - Dermatology 8921076696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Harvard Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Dermatology Associates of Chicago LTDGroup PAC ID 0042539702, 7 clinicians

Practice addresses (Care Compare)

363 W Erie St
Suite 350
Chicago, IL 60654-6933
Phone (312) 922-1955

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions88
Removal or shaving of skin growth11
Skin biopsy38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Dermatology Associates of Chicago, LTD Dermatology CurrentSince Mar 1, 2015 Accepting new patients
Children'S Hospital Pediatric Associates, Inc Dermatology PastSince Oct 22, 2023 Accepting new patients

Locations

363 W Erie St
Ste 350
Chicago, IL 60654
Phone (312) 922-1955

Interoperability endpoints

  • Direct secure messaging: plio@dermchicago.emadirect.md

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1497787923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 W ERIE ST # 350",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546903",
            "telephone_number": "312-995-1955",
            "fax_number": "312-995-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W ERIE ST # 350",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546903",
            "telephone_number": "312-995-1955",
            "fax_number": "312-995-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIO",
        "first_name": "PETER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036120840",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "222029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2101700",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "plio255128@direct.myadvocateaurora.org",
            "affiliation": "N",
            "endpointDescription": "Advocate",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "363 W Erie St # 350",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606546903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "Advocate",
            "address_1": "363 W Erie St # 350",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606546903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.