Active NPI
Meer Nisengolts, M.D.
- Pediatrics Physician
- Niles, IL
National Provider Identifier
1578891578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036.069317
- Practice address
- 7117 W. Greenleaf
Pediatrics, M.D.
Niles, IL 60714 - Phone
- (847) 966-8706
- NPI assigned
- Dec 2, 2009
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036.069317 | IL | Primary |
Addresses
Primary practice location
7117 W. Greenleaf
Pediatrics, M.D.
Niles, IL 60714
Mailing address
7117 W. Greenleaf
Niles, IL 60714
Phone (847) 966-8706
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.069317 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259712000000",
"number": "1578891578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7117 W. GREENLEAF",
"city": "NILES",
"state": "IL",
"postal_code": "60714",
"telephone_number": "847-966-8706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7117 W. GREENLEAF",
"address_2": "PEDIATRICS, M.D.",
"city": "NILES",
"state": "IL",
"postal_code": "60714",
"telephone_number": "847-966-8706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISENGOLTS",
"first_name": "MEER",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-02",
"last_updated": "2009-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036.069317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.