Peter Georgiou, D.C., CCSP

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

038007148 Issued in IL

Practice address

916 W Belmont Ave
Chicago, IL 60657-4427

Phone

(773) 665-4400

Fax

(773) 665-4439

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Peter Georgiou Professional name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Realign Med, S.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1427195395
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1720185176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 W. BELMONT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-665-4400",
            "fax_number": "773-665-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574427",
            "telephone_number": "773-665-4400",
            "fax_number": "773-665-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGIOU",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.C., CCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-10-04",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038007148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1682495",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "GEORGIOU",
            "prefix": "DR.",
            "credential": "D.C, CCSP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Reginald Georgia, MS.ED., LPC, NCC
• Sarah R Georgianna, PSYD
• Peter Thomas Georginis, MD
• Nickolas Georgiopoulos, DDS
• Maria Georgiou
• Ann Georgopoulos
• Jennifer Georgopoulos
• Katherine P. Georgopoulos
• Vivienne Geovanis, RN
• Aaron Todd Gephart

• Sports Physician Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Sports Physician Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.