Organization Active NPI

Joel S. Leifheit M.D., P.C.

  • Internal Medicine Physician
  • Peru, IL
National Provider Identifier
1841312980
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JOEL S. LEIFHEIT M.D., P.C.
Practice address
920 West St
Suite 111
Peru, IL 61354-2763
Phone
(815) 223-4273
Fax
(815) 223-4328
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Joel S Leifheit, M.D.NPI 1871696229
Title
President
Phone
(815) 223-4273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X IL Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X IL

Addresses

Primary practice location

920 West St
Suite 111
Peru, IL 61354-2763

Mailing address

920 West St
Suite 111
Peru, IL 61354-2763
Phone (815) 223-4273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070426000298 IL Part B Supplier - Clinic/Group Practice 0446356182 Receives reassigned benefits from 1 practitioner
Practice locations: Peru, IL

National Provider Directory

National Provider Directory

Locations

920 West St
Ste 111
Peru, IL 61354
Phone (815) 223-4273

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23506/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/11902/brand/2/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1841312980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 WEST ST",
            "address_2": "SUITE 111",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542763",
            "telephone_number": "815-223-4273",
            "fax_number": "815-223-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 WEST ST",
            "address_2": "SUITE 111",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542763",
            "telephone_number": "815-223-4273",
            "fax_number": "815-223-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL S. LEIFHEIT M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "LEIFHEIT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-223-4273",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peru, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.