Doris B Nietert, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036-083727 Issued in IL

Practice address

100 Spalding Dr
Suite 206
Naperville, IL 60540-6550

Phone

(630) 355-6996

Fax

(630) 355-0026

NPI assigned

Nov 25, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1942283759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 N MILL ST",
            "address_2": "STE 100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605636305",
            "telephone_number": "630-355-6996",
            "fax_number": "630-355-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPALDING DR",
            "address_2": "SUITE 206",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406550",
            "telephone_number": "630-355-6996",
            "fax_number": "630-355-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETERT",
        "first_name": "DORIS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-25",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-083727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-083727",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Rada Nieberding
• Janet Marie Nielsen, M.D.
• Thomas Nielsen
• Coni J. Nielson, APN-CNP
• Genalin Go Niere-Metcalf, R.N., M.A., PSY.D
• Maria Del Rocio Nieto
• Nikiwill Inc.
• Tara Cole Nikodem, PA-C
• Laura Nilles, P.T.
• Linda A. Nisonoff, PH.D.

• Pediatrics Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.