Individual provider Active NPI

Peter D Analytis, MD SC

  • Neurology Physician
  • Morris, IL
National Provider Identifier
1720032311
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036061885 Issued in IL
Practice address
1802 N Division St Ste 703
Morris, IL 60450-3104
Phone
(815) 942-4506
NPI assigned
May 19, 2006
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036061885 IL Primary

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 names 1

  • Joliet Headache & Neuro Center Professional name

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
I20040721000846 IL Practitioner - Sleep MedicinePractitioner - Neurology 2163402165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Neurology
Education
Southern Illinois University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris HospitalGroup PAC ID 1850372459, 115 clinicians

Practice addresses (Care Compare)

25259 S Reed St
Channahon, IL 60410-6003
Phone (815) 467-0555

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Hospital Neurology CurrentSince Aug 1, 2004 Accepting new patients
Morris Hospital CurrentSince Nov 1, 2015 Accepting new patients
Morris Hospital CurrentSince Nov 1, 2015 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
Morris, IL 60450
Phone (815) 941-1885

1499 Lakewood Dr
Ste I
Morris, IL 60450
Phone (815) 942-4506

150 W High St
Morris, IL 60450
Phone (815) 942-2129

1802 N Division St
Ste 703
Morris, IL 60450
Phone (815) 941-8000

725 School St
Ste A
Morris, IL 60450

Interoperability endpoints

  • Direct secure messaging: peter.analytis@direct-address.org

Organizations & group practices 4

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.

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1720032311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SCHOOL ST STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501207",
            "telephone_number": "815-941-9124",
            "fax_number": "815-941-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N DIVISION ST STE 703",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503104",
            "telephone_number": "815-942-4506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25259 S Reed St",
            "address_purpose": "LOCATION",
            "city": "Channahon",
            "state": "IL",
            "postal_code": "604106003",
            "country_code": "US",
            "telephone_number": "815-467-0555",
            "fax_number": "815-467-9823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANALYTIS",
        "first_name": "PETER",
        "middle_name": "D",
        "credential": "MD SC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036061885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLIET HEADACHE &",
            "last_name": "CENTER",
            "middle_name": "NEURO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.