Active NPI
Peter Dawson Hauslein, MD
- Otolaryngology Physician
- Galesburg, IL
National Provider Identifier
1689675118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 036-058861
- Practice address
- 582 N Seminary St
Galesburg, IL 61401-3739 - Phone
- (309) 343-9393
- Fax
- (309) 343-2107
- NPI assigned
- Aug 9, 2005
- Last updated
- Jul 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 036-058861 | IL | Primary |
Addresses
Primary practice location
582 N Seminary St
Galesburg, IL 61401-3739
Mailing address
582 N Seminary St
Galesburg, IL 61401-3739
Phone (309) 343-9393
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
- Otolaryngology
- Education
- Michigan State University College of Human Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
582 N Seminary St
Galesburg, IL 61401-3739
Phone (309) 343-9393
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-058861 | IL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Services Incorporated of the Midwest | Otolaryngology | Current | Accepting new patients |
| The Hearing Clinic | Past | Accepting new patients |
Locations
582 N Seminary St
Galesburg, IL 61401
Phone (309) 343-9393
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Galesburg, IL
- NPI 1093856932
-
- Audiologist
- Galesburg, IL
- NPI 1780868307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310688000000",
"number": "1689675118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "582 N SEMINARY ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614013739",
"telephone_number": "309-343-9393",
"fax_number": "309-343-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "582 N SEMINARY ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614013739",
"telephone_number": "309-343-9393",
"fax_number": "309-343-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSLEIN",
"first_name": "PETER",
"middle_name": "DAWSON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2011-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036-058861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galesburg, IL
- Melissa Hajostek, APN
- Christa Ann Hamilton, LPN
- Trisha Hanson, SLP
- Brenda Harrell, MHP
- Rebecca Anne Harrell I, LCPC
- Jamie Haynes, PT
- Sarah Jane Haynes, PT
- Healthy Body...Healthy Life Chiropractic, Inc.
- Heart and Home in Home Care LLC (Heart and Home In Home Care)
- Heartland of Galesburg Il, LLC (ProMedica Skilled Nursing and Rehabilitation (Galesburg))
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.