NPIMap

Individual provider Active NPI

Joel S Leifheit, MD

  • Internal Medicine Physician
  • Peru, IL
National Provider Identifier
1871696229
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036093954 Issued in IL
Practice address
920 West St
Suite 111
Peru, IL 61354
Phone
(815) 223-4273
Fax
(815) 223-4328
NPI assigned
Sep 7, 2006
Last updated
Feb 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036093954 IL Primary
Pediatrics Physician 208000000X 036093954 IL

Addresses

Primary practice location

920 West St
Suite 111
Peru, IL 61354

Mailing address

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

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
I20070426000289 IL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8820048614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

920 W St
Suite 111
Peru, IL 61354-2765
Phone (815) 223-4273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Illinois Medical PC CurrentSince Jul 14, 2025 Accepting new patients
Premise Health of Illinois Medical PC Current Accepting new patients
Joel S. Leifheit M.D., P.C. Internal Medicine CurrentSince Feb 1, 2007 Accepting new patients
Oncology-Hematology Associates of Central Illinois P C PastSince Feb 1, 2007 Accepting new patients
St. Margaret's Health-Peru PastSince Jan 1, 2016 Accepting new patients

Locations

16906 Collection Ctr Dr
Chicago, IL 60693

6150 Joliet Rd
Countryside, IL 60525
Phone (708) 485-2273

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11902/brand/2/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/23506/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joel.leifheit.1@23506.direct.athenahealth.com

Organizations & group practices 5

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 8

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1871696229",
    "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": "61354",
            "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": "61354",
            "telephone_number": "815-223-4273",
            "fax_number": "815-223-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIFHEIT",
        "first_name": "JOEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036093954",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036093954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peru, IL

Sources for this page

Verify at the official NPI Registry.