NPIMap

Individual provider Active NPI

Peter Gerald Allegretti, M.D.

  • Family Medicine Physician
  • Libertyville, IL
National Provider Identifier
1720152317
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-58691 Issued in IL
Practice address
535 W Park Ave
Libertyville, IL 60048-2600
Phone
(847) 362-2311
Fax
(847) 362-2369
NPI assigned
Nov 17, 2006
Last updated
May 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2008

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 036-58691 IL Primary

Addresses

Primary practice location

535 W Park Ave
Libertyville, IL 60048-2600

Mailing address

535 W Park Ave
Libertyville, IL 60048-2600
Phone (847) 362-2311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111021000178 IL Practitioner - Family Practice 6406028299 Practice locations: Libertyville, IL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

535 W Park Ave
Libertyville, IL 60048-2670
Phone (847) 362-2311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.5 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
65.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-58691ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis a Grollo MDSC Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pallegretti234517@direct.myadvocateaurora.org

Organizations & group practices 1

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1720152317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 W PARK AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482600",
            "telephone_number": "847-362-2311",
            "fax_number": "847-362-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W PARK AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482600",
            "telephone_number": "847-362-2311",
            "fax_number": "847-362-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEGRETTI",
        "first_name": "PETER",
        "middle_name": "GERALD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-58691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.