Individual provider Active NPI

William M Reiff, MD

  • Ophthalmology Physician
  • Elgin, IL
National Provider Identifier
1720187685
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036052088 Issued in IL
Practice address
1435 N Randall Rd
Suite 102
Elgin, IL 60123-2306
Phone
(847) 841-8866
Fax
(847) 841-8986
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036052088 IL Primary

Addresses

Primary practice location

1435 N Randall Rd
Suite 102
Elgin, IL 60123-2306

Mailing address

1435 N Randall Rd
Suite 102
Elgin, IL 60123-2306
Phone (847) 841-8866

Other identifiers 1

IdentifierTypeStateIssuer
036052088MedicaidIL

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
I20100130000195 IL Practitioner - Ophthalmology 0345383303 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036052088ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Chicago Lighthouse for People Who Are Blind Or Visually Impaired CurrentSince Jul 2, 2018 Accepting new patients
Tatiyana Urbin, D.C. LTD PastSince Jul 2, 2018 Accepting new patients
Retina Consultants, LTD Past Accepting new patients

Locations

1850 W Roosevelt Rd
Chicago, IL 60608
Phone (312) 997-3686

222 Waukegan Rd
Glenview, IL 60025
Phone (847) 510-6200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1720187685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 N RANDALL RD",
            "address_2": "SUITE 102",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232306",
            "telephone_number": "847-841-8866",
            "fax_number": "847-841-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 N RANDALL RD",
            "address_2": "SUITE 102",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232306",
            "telephone_number": "847-841-8866",
            "fax_number": "847-841-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIFF",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036052088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052088",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.