Individual provider Active NPI

Heather Maureen Weinreich, MD

  • Otology & Neurotology Physician
  • Chicago, IL
National Provider Identifier
1760657381
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
036.145671 Issued in IL
Practice address
1855 W Taylor St Dept of
Chicago, IL 60612-7242
Phone
(312) 996-6584
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X D0077342 MD
Otology & Neurotology Physician 207YX0901X 036.145671 IL Primary

Addresses

Primary practice location

1855 W Taylor St Dept of
Chicago, IL 60612-7242

Mailing address

1855 W Taylor St Dept of
Chicago, IL 60612-7242

Other practice location 1

601 N Caroline St
Department of Otolaryngology 6214 JHOC
Baltimore, MD 21287-0006
Phone (410) 502-4269

Other names 1

  • Heather Maureen Nelson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, IL2 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
I20150917001804 MD Practitioner - Otolaryngology 6608004270 Reassigns benefits to 1 organization
I20180905001010 IL Practitioner - Otolaryngology 6608004270 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.145671ILMDOtology & Neurotology Physician
D0077342MDMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jul 21, 2018 Accepting new patients
Johns Hopkins University CurrentSince Aug 15, 2015 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jul 21, 2018 Accepting new patients
Johns Hopkins University CurrentSince Aug 15, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1855 W Taylor St
#648
Chicago, IL 60612
Phone (312) 996-6582

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

601 N Caroline St
#6214
Baltimore, MD 21287
Phone (410) 502-4269

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

8322 Bellona Ave
Ste 300
Towson, MD 21204
Phone (410) 296-0414

Interoperability endpoints

  • Direct secure messaging: hweinreich17573@uihealth.direct-ci.com

Organizations & group practices 6

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1760657381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W TAYLOR ST DEPT OF",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W TAYLOR ST DEPT OF",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127242",
            "telephone_number": "312-996-6584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Caroline St",
            "address_2": "Department of Otolaryngology 6214 JHOC",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870006",
            "country_code": "US",
            "telephone_number": "410-502-4269",
            "fax_number": "410-614-8610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINREICH",
        "first_name": "HEATHER",
        "middle_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "MD",
            "license": "D0077342",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "IL",
            "license": "036.145671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "NELSON",
            "middle_name": "MAUREEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.