Active NPI
Robert Weiss, MD
- Vascular Surgery Physician
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 036158818
- Practice address
- 1875 Dempster St Ste 550
Park Ridge, IL 60068-1188 - Phone
- (847) 384-1420
- Fax
- (847) 318-9332
- NPI assigned
- Jul 10, 2017
- Last updated
- Sep 16, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MT213930 | PA | |
| Vascular Surgery Physician | 2086S0129X | 036158818 | IL | Primary |
Addresses
Primary practice location
1875 Dempster St Ste 550
Park Ridge, IL 60068-1188
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other practice location 1
230 N Broad St
Philadelphia, PA 19102-1121
Phone (215) 762-7000
Other practice location 2
3401 N Broad St
Philadelphia, PA 19140-5189
Phone (215) 707-2000
Other practice location 3
5841 S Maryland Ave # Mc5028
Chicago, IL 60637-1443
Phone (773) 702-2097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT213930 | Other | PA | GRADUATE MEDICAL TRAINEE SURGERY - GENERAL |
Other names 1
- Dr. Robert Weiss
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rweiss407285@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1875 Dempster St
Suite 550
Park Ridge, IL 60068-1188
Phone (847) 384-1420
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 21 |
| Leg revascularization (restoring blood flow) | 55 |
| Removal of tissue | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT213930 | PA | MD | Surgery Physician |
| 036158818 | IL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
1875 W Dempster St
Ste 550
Park Ridge, IL 60068
Phone (847) 384-1420
Organizations & group practices 3
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 Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Advocate Good Samaritan Hospital
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Condell Imaging Center
- Mobile Mammography Clinic/Center
- Gurnee, IL
- NPI 1023262441
Hospital
-
- General Acute Care Hospital
- Libertyville, IL
- NPI 1124272547
-
dba Advocate Condell Medical Center Grays Lake
- Mobile Mammography Clinic/Center
- Grayslake, IL
- NPI 1770737199
Hospital
-
dba Advocate Lutheran General Hospital
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1609398825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900",
"fax_number": "847-390-5450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 DEMPSTER ST STE 550",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681188",
"telephone_number": "847-384-1420",
"fax_number": "847-318-9332"
}
],
"practiceLocations": [
{
"address_1": "230 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191021121",
"country_code": "US",
"telephone_number": "215-762-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3401 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191405189",
"country_code": "US",
"telephone_number": "215-707-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5841 S Maryland Ave # Mc5028",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371443",
"country_code": "US",
"telephone_number": "773-702-2097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEISS",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-10",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MT213930",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": "036158818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRADUATE MEDICAL TRAINEE SURGERY - GENERAL",
"identifier": "MT213930",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rweiss407285@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1875 Dempster St Ste 550",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681188",
"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": "1875 Dempster St Ste 550",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681188",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "WEISS",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.