Marc L Wiener, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036076864 Issued in IL

Practice address

27W170 Saint Charles Rd
Carol Stream, IL 60188-1935

Phone

(630) 562-9100

Fax

(630) 562-9172

NPI assigned

Jun 14, 2006

Last updated

Feb 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avesena Home Health Care Home health agency, Addison, IL, CCN 147802
• Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
• Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• A & M Internal Medicine, LTD.

  • Internal Medicine Physician
  • Carol Stream, IL
  • NPI 1356558373
  Medicare reassignment NPD Authorized official
• Pauline K. Wiener, M.D., S.C.

  • Geriatric Psychiatry Physician
  • Winfield, IL
  • NPI 1215143250
  NPD

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

• Avesena Inc.

  dba Avesena Home Health Care

  • Home Health Agency
  • Addison, IL
  • NPI 1700964855
  Care Compare affiliation
• Central Dupage Hospital Association

  dba Northwestern Medicine Central Dupage Hospital

  • General Acute Care Hospital
  • Winfield, IL
  • NPI 1003864810
  Care Compare affiliation
• Central Dupage Hospital Association

  dba Northwestern Medicine Central Dupage Hospital

  • Psychiatric Hospital Unit
  • Winfield, IL
  • NPI 1740230895
  Care Compare affiliation
• Delnor Community Hospital

  dba Northwestern Medicine Delnor Community Hospital

  • General Acute Care Hospital
  • Geneva, IL
  • NPI 1407859655
  Care Compare affiliation

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1861435927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27W170 SAINT CHARLES RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881935",
            "telephone_number": "630-562-9100",
            "fax_number": "630-562-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27W170 SAINT CHARLES RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881935",
            "telephone_number": "630-562-9100",
            "fax_number": "630-562-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "MARC",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036076864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "002220114",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056076864",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wheaton Orthopaedics, LTD. (SportsMed Wheaton Orthopaedics)
• Wheaton Orthopaedics, LTD.
• Wheels on Wheels Transportation LLC
• Tammy M White, PT
• Whole Lotus Therapy, PLLC
• Pauline K Wiener, M.D.
• Blair Wilder
• Juliana Lynn Wilhelm, L.C.P.C.
• William Vogds DC LTD
• William Wright PC

• Internal Medicine Physician in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.

Verify at the official NPI Registry.