Individual provider Active NPI

Roland Whaley Winterfield Jr., M.D.

  • Cardiovascular Disease Physician
  • Palos Heights, IL
National Provider Identifier
1649293044
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
3645441 Issued in IL
Practice address
12400 S Harlem Ave Ste 112
Palos Heights, IL 60463-1477
Phone
(708) 923-7650
Fax
(708) 923-7655
NPI assigned
Jul 26, 2006
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 3645441 IL Primary

Addresses

Primary practice location

12400 S Harlem Ave Ste 112
Palos Heights, IL 60463-1477

Mailing address

12255 S 80TH Ave
Palos Heights, IL 60463-1270
Phone (708) 923-7650

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rwinterfield278968@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
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3645441ILMDCardiovascular Disease Physician

Interoperability endpoints

  • Direct secure messaging: rwinterfield278968@direct.myadvocateaurora.org

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1649293044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12255 S 80TH AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631270",
            "telephone_number": "708-923-7650",
            "fax_number": "708-923-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 S HARLEM AVE STE 112",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631477",
            "telephone_number": "708-923-7650",
            "fax_number": "708-923-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERFIELD",
        "first_name": "ROLAND",
        "middle_name": "WHALEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "3645441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwinterfield278968@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12400 S Harlem Ave Ste 112",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631477",
            "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": "12400 S Harlem Ave Ste 112",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.