Organization Active NPI

Peter J Kiefer MD LTD

  • Family Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1952599482
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PETER J KIEFER MD LTD
Practice address
1792 E Oakton St
Des Plaines, IL 60018-2110
Phone
(847) 827-4496
Fax
(847) 827-1256
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Dr. Peter Jurgen Kiefer, MDNPI 1386688158
Title
President
Phone
(847) 827-4496

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X IL Primary

Addresses

Primary practice location

1792 E Oakton St
Des Plaines, IL 60018-2110

Mailing address

1792 E Oakton St
Des Plaines, IL 60018-2110
Phone (847) 827-4496

Other identifiers 1

IdentifierTypeStateIssuer
36059034MedicaidIL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1952599482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 E OAKTON ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182110",
            "telephone_number": "847-827-4496",
            "fax_number": "847-827-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 E OAKTON ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182110",
            "telephone_number": "847-827-4496",
            "fax_number": "847-827-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J KIEFER MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "KIEFER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JURGEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-827-4496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36059034",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.