NPIMap

Individual provider Active NPI

Peter L Seraphin, DO

  • Gastroenterology Physician
  • Hinsdale, IL
National Provider Identifier
1831204734
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036107633 Issued in IL
Practice address
12 Salt Creek LN
Suite 425
Hinsdale, IL 60521-8605
Phone
(630) 789-2260
Fax
(630) 789-1584
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036107633 IL Primary

Addresses

Primary practice location

12 Salt Creek LN
Suite 425
Hinsdale, IL 60521-8605

Mailing address

12 Salt Creek LN
Suite 425
Hinsdale, IL 60521-8605
Phone (630) 789-2260

Other identifiers 1

IdentifierTypeStateIssuer
362658747OtherILFEDERAL TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070109000281 IL Practitioner - Gastroenterology 1951301332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Illinois Gastroenterology Group LLCGroup PAC ID 5193857423, 116 clinicians
Loyola University Medical CenterGroup PAC ID 3779488903, 917 clinicians

Practice addresses (Care Compare)

12 Salt Creek LN
Suite 425
Hinsdale, IL 60521-8603
Phone (630) 789-2260

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-8372

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.21 of 100Reported as group
Quality
67.65
Promoting interoperability
99
Improvement activities
40
Cost
80.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy221
Upper gastrointestinal (GI) endoscopy for acid reflux207

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center CurrentSince Feb 2, 2025 Accepting new patients
Northwest Gastroenterologists SC Current Accepting new patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients
Elgin Gastroenterology SC Gastroenterology Current Accepting new patients
Loyola University Medical Center CurrentSince Feb 2, 2025 Accepting new patients

Locations

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

2 Westbrook Corporate Ctr
Ste 600
Westchester, IL 60154
Phone (708) 216-5092

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1831204734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SALT CREEK LN",
            "address_2": "SUITE 425",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218605",
            "telephone_number": "630-789-2260",
            "fax_number": "630-789-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SALT CREEK LN",
            "address_2": "SUITE 425",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218605",
            "telephone_number": "630-789-2260",
            "fax_number": "630-789-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAPHIN",
        "first_name": "PETER",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036107633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "362658747",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.