Individual provider Active NPI

Patrice Ann Weiner, M.D.

  • Pulmonary Disease Physician
  • Elk Grove Village, IL
National Provider Identifier
1912928557
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036141359 Issued in IL
Practice address
800 Biesterfield Rd Ste 510
Elk Grove Village, IL 60007-3367
Phone
(847) 981-3660
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036141359 IL
Pulmonary Disease Physician 207RP1001X G65159 CA
Pulmonary Disease Physician 207RP1001X MD-14373 HI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G65159 CA
Pulmonary Disease Physician 207RP1001X 036141359 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd Ste 510
Elk Grove Village, IL 60007-3367

Mailing address

800 Biesterfield Rd Ste 510
Elk Grove Village, IL 60007-3367
Phone (847) 981-3660

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sublung@380.direct.myezyaccess.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65159CAMDMarriage & Family Therapist
036141359ILMDCritical Care Medicine (Internal Medicine) Physician
G65159CAMDPulmonary Disease Physician
MD-14373HIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bel Air Critical Care Medical Group, Inc. Critical Care Medicine CurrentSince Sep 1, 2017 Accepting new patients
Compassionate Critical Care Group, Inc. Critical Care Medicine CurrentSince Jul 27, 2021 Accepting new patients
Pacific Professional Surgical Group Inc Past Accepting new patients
El-Bershawi Medical Corp Critical Care Medicine Past Accepting new patients

Locations

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

22543 Ventura Blvd
Ste 220
Woodland Hills, CA 91364
Phone (747) 263-8551

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1912928557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 510",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073367",
            "telephone_number": "847-981-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 510",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073367",
            "telephone_number": "847-981-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "PATRICE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036141359",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G65159",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "HI",
            "license": "MD-14373",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G65159",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036141359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sublung@380.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "800 Biesterfield Rd Ste 510",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600073367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.