Individual provider Active NPI

Peter Illei, M.D.

  • Anatomic Pathology Physician
  • Baltimore, MD
National Provider Identifier
1720071459
Registry record updated Jan 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
D62986 Issued in MD
Practice address
401 N Broadway St
Weinberg BLDG. RM. 2242
Baltimore, MD 21231-2410
Phone
(410) 502-5160
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 225049 NY
Anatomic Pathology Physician 207ZP0101X D62986 MD Primary

Addresses

Primary practice location

401 N Broadway St
Weinberg BLDG. RM. 2242
Baltimore, MD 21231-2410

Mailing address

PO Box 64478
Baltimore, MD 21264-4478

Other identifiers 1

IdentifierTypeStateIssuer
408004100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050627000165 MD Practitioner - Pathology 5496790867 Reassigns benefits to 1 organization
I20181108000300 DC Practitioner - Pathology 5496790867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians
Johns Hopkins UniversityGroup PAC ID 4981745098, 711 clinicians

Practice addresses (Care Compare)

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100

5255 Loughboro Rd NW
Sibley Memorial Hosp
Washington, DC 20016-2633
Phone (202) 537-4000

5755 Cedar LN
Columbia, MD 21044-2912
Phone (410) 740-7544

5755 Cedar LN
Columbia, MD 21044-2999
Phone (410) 740-7890

5759 Cedar LN
Columbia, MD 21044-2912
Phone (443) 718-3738

600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000

600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340

8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3100

Hospital & facility affiliations

  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009
  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005
  • Johns Hopkins Bayview Medical Center Hospital, Baltimore, MD, CCN 210029
  • Johns Hopkins Howard County Medical Center Hospital, Columbia, MD, CCN 210048
  • Suburban Hospital Hospital, Bethesda, MD, CCN 210022

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D62986MDMDAnatomic Pathology Physician
225049NYMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Sep 17, 2018 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2005 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2005 Accepting new patients
New York University Medical Center Pathology Associates Anatomic Pathology PastSince Aug 1, 1991 Accepting new patients

Locations

8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

Interoperability endpoints

  • Direct secure messaging: pillei7776@direct.hopkinsmedicine.org

Organizations & group practices 5

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 7

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357344000000",
    "number": "1720071459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64478",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BROADWAY ST",
            "address_2": "WEINBERG BLDG. RM. 2242",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212312410",
            "telephone_number": "410-502-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLEI",
        "first_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2013-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NY",
            "license": "225049",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MD",
            "license": "D62986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408004100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.