Active NPI
Paul E. Later, M.D.
- Neurology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01040003A
- Practice address
- 7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140 - Phone
- (260) 436-2416
- Fax
- (260) 436-9662
- NPI assigned
- Jun 30, 2005
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 01040003A | IN | Primary |
Addresses
Primary practice location
7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Mailing address
7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 436-2416
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100319610 | Medicaid | IN | |
| 0873890 | Medicaid | OH | |
| 130006860 | Other | IN | RR MEDICARE |
| 3035350 | Medicaid | MI |
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
- Neurology
- Education
- Rush Medical College of Rush University, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 N Westmoreland Rd
Suite 100
Lake Forest, IL 60045-1601
Phone (847) 735-8500
1275 E Belvidere Rd
Suite 250
Grayslake, IL 60030-2084
Phone (847) 535-7057
1475 E Belvidere Rd
Grayslake, IL 60030-2012
350 S Waukegan
Suite 150
Deerfield, IL 60015-5239
Phone (312) 926-3107
350 S Waukegan Rd
Deerfield, IL 60015-5239
Phone (312) 926-6146
6155 Grand Ave
Gurnee, IL 60031-1651
636 Raymond Dr
Suite 107
Naperville, IL 60563-9789
Phone (630) 416-2300
660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146
870 N Milwaukee Ave
Vernon Hills, IL 60061-1521
Hospital & facility affiliations
- Northwestern Lake Forest Hospital
- Northwestern Memorial Hospital
- Northwestern Medicine McHenry
- Northwestern Medicine Central Dupage Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01040003A | IN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
680 N Lake Shore Dr
Ste 1015
Chicago, IL 60611
Phone (312) 926-9674
1475 E Belvidere Rd
Ste 185
Grayslake, IL 60030
Phone (847) 534-3278
1000 N Westmoreland Rd
#3
Lake Forest, IL 60045
Phone (847) 535-8500
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293494400000",
"number": "1689671166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7956 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044140",
"telephone_number": "260-436-2416",
"fax_number": "260-436-9662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7956 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044140",
"telephone_number": "260-436-2416",
"fax_number": "260-436-9662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATER",
"first_name": "PAUL",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2010-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01040003A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100319610",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0873890",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "130006860",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3035350",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.