Peggy L Marchini, RDLD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164 000603 Issued in IL

Practice address

9 Health Services Dr
Kishwaukee Community Hospital Diabetes Education Dept.
Dekalb, IL 60115-9601

Phone

(815) 748-8378

Fax

(815) 748-8356

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Peggy L Carlson Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.63 of 100Reported as apm

Quality

88.47

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Central Dupage Physician Group

  • Family Medicine Physician
  • Carol Stream, IL
  • NPI 1033149844

  IL

  Medicare reassignment Care Compare group NPD
• Central Dupage Physician Group

  • Orthopaedic Surgery Physician
  • Glen Ellyn, IL
  • NPI 1477897833
  Care Compare group
• Central Dupage Physician Group

  • Durable Medical Equipment & Medical Supplies
  • Warrenville, IL
  • NPI 1841534203
  Care Compare group
• Central Dupage Physician Group

  • Orthopaedic Surgery Physician
  • Geneva, IL
  • NPI 1780012344
  NPD
• Kishwaukee Community Hospital

  • General Acute Care Hospital
  • Dekalb, IL
  • NPI 1669534517
  NPD (past)
• Kishwaukee Community Hospital

  • General Acute Care Hospital
  • Dekalb, IL
  • NPI 1881758126
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1962453290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 BERKSHIRE DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601155216",
            "telephone_number": "815-748-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HEALTH SERVICES DR",
            "address_2": "KISHWAUKEE COMMUNITY HOSPITAL DIABETES EDUCATION DEPT.",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159601",
            "telephone_number": "815-748-8378",
            "fax_number": "815-748-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHINI",
        "first_name": "PEGGY",
        "middle_name": "L",
        "credential": "RDLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "305 00029",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164 000603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH",
            "identifier": "IA0160",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "039138",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "CARLSON",
            "middle_name": "L",
            "credential": "RDLD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fara Maniaci, L.M.T.
• Ibrahim Naim Mansour, MD
• David M Manuel, MD
• Tekyla Manuel
• Derek J Maratea, PA-C
• Jassmine Marquez
• Ramon Marquez, M.D.
• Dawn Marshall
• Herman E Martinez, PHARM.D.
• Rebecca Mascal

• All providers in Dekalb, IL
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.