Individual provider Active NPI

Joseph Pierson, M.D.

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1710272992
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
125056601 Issued in IL
Practice address
5840 S Maryland Ave # Mc4028
The University of Chicago Medical Center, Dept. of Anes
Chicago, IL 60637-1462
Phone
(773) 702-6700
NPI assigned
Jun 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 125056601 IL Primary

Addresses

Primary practice location

5840 S Maryland Ave # Mc4028
The University of Chicago Medical Center, Dept. of Anes
Chicago, IL 60637-1462

Mailing address

2328 W Augusta Blvd
Apt. 2F
Chicago, IL 60622-4822
Phone (330) 524-5596

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
I20141014000068 IL Practitioner - Anesthesiology 3870713951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Ohio State University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gottlieb Midwest Anesthesiologists, LLCGroup PAC ID 8123929940, 42 clinicians

Practice addresses (Care Compare)

530 N Cass Ave
Westmont, IL 60559-1503
Phone (630) 968-1800

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125056601ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Anesthesiology Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1710272992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 W AUGUSTA BLVD",
            "address_2": "APT. 2F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224822",
            "telephone_number": "330-524-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 S MARYLAND AVE # MC4028",
            "address_2": "THE UNIVERSITY OF CHICAGO MEDICAL CENTER, DEPT. OF ANES",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371462",
            "telephone_number": "773-702-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125056601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.