Peter D Analytis, MD SC
Individual provider Active NPI Neurology Physician · Morris, IL
NPI 1720032311 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1720032311
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 036061885 (IL)
- Practice address
- 1802 N Division St Ste 703
Morris, IL 60450-3104 - Phone
- (815) 942-4506
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Sleep Medicine
- Education
- Southern Illinois University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Morris Hospital
Practice addresses (Care Compare)
25259 S Reed St
Channahon, IL 60410-6003
Phone (815) 467-0555
Hospital & facility affiliations
- Morris Hospital & Healthcare Centers
- Saint Joseph Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040721000846 | IL | Practitioner - Sleep Medicine |
2163402165 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036061885 | IL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morris Hospital | Current |
Accepting new patients | |
| Morris Hospital | Neurology | Current |
Accepting new patients |
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current |
Accepting new patients |
Locations
389 E Main St
Braidwood, IL 60408
Phone (815) 458-2532
25259 S Reed St
Channahon, IL 60410
Phone (815) 467-0555
580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122
1499 Lakewood Dr
Ste I
Morris, IL 60450
Phone (815) 942-4506
1802 N Division St
Ste 703
Morris, IL 60450
Phone (815) 941-8000
725 School St
Ste A
Morris, IL 60450
150 W High St
Morris, IL 60450
Phone (815) 942-2129
1499 Lakewood Dr
Morris, IL 60450
Phone (815) 941-1885
Interoperability endpoints
- peter.analytis@direct-address.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036061885 | IL | Yes |
Addresses
Primary practice location
1802 N Division St Ste 703
Morris, IL 60450-3104
Mailing address
725 School St Ste a
Morris, IL 60450-1207
Phone (815) 941-9124
Other practice location 1
25259 S Reed St
Channahon, IL 60410-6003
Phone (815) 467-0555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036061885 | Medicaid | IL | |
| K07502 | Other | IL | MEDICARE GRUNDY |
| K07501 | Other | IL | MEDICARE WILL |
Other names
- Joliet Headache & Neuro Center
Other providers in Morris, IL
- Mir H Ali
- James R Allen
- Adriana Paola Alvarez
- American Drug Stores LLC
- American Drug Stores LLC
- Lacey Anderson
- Vessela Andreeva
- Colleen Patricia Andreoni
- Anesthesia Consultants of Morris
- Anesthesia Consultants of Morris, LLC
All providers in Morris, IL · Neurology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.