Active NPI
Richard J Wiet, M.D.
- Otology & Neurotology Physician
- Hinsdale, IL
National Provider Identifier
1760464911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otology & Neurotology Physician
- License
- 036-047459
- Practice address
- 11 Salt Creek LN
Suite 101
Hinsdale, IL 60521-2990 - Phone
- (630) 789-3110
- Fax
- (630) 789-3137
- NPI assigned
- Nov 15, 2005
- Last updated
- Mar 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otology & Neurotology Physician | 207YX0901X | 036-047459 | IL | Primary |
Addresses
Primary practice location
11 Salt Creek LN
Suite 101
Hinsdale, IL 60521-2990
Mailing address
11 Salt Creek LN
Suite 101
Hinsdale, IL 60521-2990
Phone (630) 789-3110
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403270 | Other | IL | MEDICARE GROUP PTAN |
| 36047459 | Medicaid | IL | |
| 400280 | Other | IL | GROUP MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear Institute of Chicago LLC | Otology & Neurotology | Past | Accepting new patients |
| Adventist Health Partners, Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otology & Neurotology Physician
- Hinsdale, IL
- NPI 1598982571
-
- Hearing and Speech Clinic/Center
- Hinsdale, IL
- NPI 1114104239
-
dba Hinsdale Primary Care
- Family Medicine Physician
- Hinsdale, IL
- NPI 1952339939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1760464911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 SALT CREEK LN",
"address_2": "SUITE 101",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605212990",
"telephone_number": "630-789-3110",
"fax_number": "630-789-3137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 SALT CREEK LN",
"address_2": "SUITE 101",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605212990",
"telephone_number": "630-789-3110",
"fax_number": "630-789-3137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIET",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "IL",
"license": "036-047459",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "403270",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36047459",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "400280",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.