Individual provider Active NPI

Peter Dawson Hauslein, MD

  • Otolaryngology Physician
  • Galesburg, IL
National Provider Identifier
1689675118
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036-058861 Issued in IL
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070313000185 IL Practitioner - Otolaryngology 4981707999 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-058861ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Services Incorporated of the Midwest Otolaryngology CurrentSince Mar 19, 2007 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.

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

Sources for this page

Verify at the official NPI Registry.