Individual provider Active NPI

Peter T. Senatore, D.O.

  • Family Medicine Physician
  • Grayslake, IL
National Provider Identifier
1700865656
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036056034 Issued in IL
Practice address
15 Commerce Dr Ste 113
Grayslake, IL 60030-7807
Phone
(847) 231-5300
Fax
(847) 231-5303
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036056034 IL Primary

Addresses

Primary practice location

15 Commerce Dr Ste 113
Grayslake, IL 60030-7807

Mailing address

15 Commerce Dr Ste 113
Grayslake, IL 60030-7807
Phone (847) 231-5300

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
I20120110000644 IL Practitioner - General PracticePractitioner - Emergency Medicine 1052587227 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Illinois PLLC Specialist CurrentSince Jul 21, 1999 Accepting new patients
Waukegan Clinic Corp Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 1, 2023 Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Jun 1, 2021 Accepting new patients
Ctca Physicians Group of Illinois, LLC Specialist PastSince Aug 1, 2021 Accepting new patients
Ctca Physicians Group of Illinois, Inc Past Accepting new patients

Locations

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

15 Commerce Dr
Ste 113
Grayslake, IL 60030
Phone (847) 231-5300

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1700865656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COMMERCE DR STE 113",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307807",
            "telephone_number": "847-231-5300",
            "fax_number": "847-231-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COMMERCE DR STE 113",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307807",
            "telephone_number": "847-231-5300",
            "fax_number": "847-231-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENATORE",
        "first_name": "PETER",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036056034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

Verify at the official NPI Registry.