Organization Active NPI

Retina Associates LTD

  • Ophthalmology Physician
  • Elmhurst, IL
National Provider Identifier
1629067673
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA ASSOCIATES LTD
Practice address
133 E Brush Hill Rd Ste 300
Elmhurst, IL 60126-5659
Phone
(630) 571-1501
Fax
(630) 571-5679
NPI assigned
Oct 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Dr. Aaron B Weinberg, M.D.NPI 1801834676
Title
President
Phone
(630) 571-1501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Retina Specialist (Ophthalmology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0107X

Addresses

Primary practice location

133 E Brush Hill Rd Ste 300
Elmhurst, IL 60126-5659

Mailing address

133 E Brush Hill Rd Ste 300
Elmhurst, IL 60126-5659
Phone (630) 571-1501

Other identifiers 3

IdentifierTypeStateIssuer
CD1803OtherILRR MEDICARE
2201714OtherILGROUP BCBS OF IL
CM7388OtherILRR MEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060728000045 IL Part B Supplier - Clinic/Group Practice 4587677000 Receives reassigned benefits from 8 practitioners
Practice locations: Elmhurst, IL; Oak Lawn, IL; Olympia Fields, IL; Skokie, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2334351Retina Associates, LTD133 E Brush Hill Rd - Ste 300, Elmhurst, IL 60126Certificate of waiverNov 18, 2027

National Provider Directory

National Provider Directory

Locations

133 E Brush Hill Rd
Ste 300
Elmhurst, IL 60126
Phone (630) 571-1501

800 Austin St
Ste 154
Evanston, IL 60202
Phone (847) 866-9700

6677 N Lincoln Ave
Ste 333
Lincolnwood, IL 60712
Phone (224) 251-7075

2425 W 22nd St
Ste 207
Oak Brook, IL 60523
Phone (630) 571-1501

4700 W 95th St
Ste LL8
Oak Lawn, IL 60453
Phone (708) 499-4192

19900 Governors Dr
Ste 104
Olympia Fields, IL 60461
Phone (708) 503-4176

4709 Golf Rd
Ste 117
Skokie, IL 60076
Phone (847) 423-2077

326 W US Highway 30
Schererville, IN 46375
Phone (219) 335-2400

Interoperability endpoints

  • Direct secure messaging: madenwalla@racil.intellechartdirect.net
  • Direct secure messaging: kpatel@racil.intellechartdirect.net
  • Direct secure messaging: aweinberg@racil.intellechartdirect.net
  • Direct secure messaging: hstern@racil.intellechartdirect.net
  • Direct secure messaging: kresnick@racil.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1629067673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E BRUSH HILL RD STE 300",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265659",
            "telephone_number": "630-571-1501",
            "fax_number": "630-571-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E BRUSH HILL RD STE 300",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265659",
            "telephone_number": "630-571-1501",
            "fax_number": "630-571-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-571-1501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CD1803",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS OF IL",
            "identifier": "2201714",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CM7388",
            "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 Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.