Active NPI
Jesse Mer, M.D.
- Vascular & Interventional Radiology Physician
- Evergreen Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 036-156328
- Practice address
- 2800 W 95TH St
Evergreen Park, IL 60805-2795 - Phone
- (708) 422-6200
- NPI assigned
- Jun 3, 2015
- Last updated
- Dec 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036-156328 | IL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 2020016065 | MO | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 036-156328 | IL | Primary |
Addresses
Primary practice location
2800 W 95TH St
Evergreen Park, IL 60805-2795
Mailing address
111 Oakwood Rd
East Peoria, IL 61611-1853
Phone (309) 740-4272
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Texas Tech University Health Science Center School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Oakwood Rd
East Peoria, IL 61611-1853
Phone (309) 740-4272
2738 N Wayne Ave
Unit 1
Chicago, IL 60614-1232
Phone (906) 786-5707
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-156328 | IL | MD | Diagnostic Radiology Physician |
| 2020016065 | MO | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Illinois Radiological Associates, LTD. | Single Specialty | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Single Specialty | Current | Accepting new patients |
| Osf Multi-Specialty Group | Single Specialty | Current | Accepting new patients |
| Cira Michigan PC | Single Specialty | Current | Accepting new patients |
Locations
5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748
2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104
111 Oakwood Rd
Peoria, IL 61611
Phone (586) 412-4144
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
530neglen Oak Ave
Peoria, IL 61636
Phone (309) 685-1054
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
111 Spring St
Streator, IL 61364
Phone (815) 672-4587
Organizations & group practices 4
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.
-
dba Central Illinois Radiological Associates
- Diagnostic Radiology Physician
- Peoria, IL
- NPI 1538192828
Single Specialty
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Single Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OSF Little Company of Mary Medical Center
- General Acute Care Hospital
- Evergreen Park, IL
- NPI 1215572045
-
dba OSF Saint Elizabeth Medical Center
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
dba Silver Cross Hospital
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
-
dba OSF Saint Joseph Medical Center
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1760862932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 OAKWOOD RD",
"city": "EAST PEORIA",
"state": "IL",
"postal_code": "616111853",
"telephone_number": "309-740-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 W 95TH ST",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052795",
"telephone_number": "708-422-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MER",
"first_name": "JESSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-03",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036-156328",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MO",
"license": "2020016065",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IL",
"license": "036-156328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.