Active NPI
Robert L. Peiss, M.D.
- Nuclear Radiology Physician
- Elmhurst, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Radiology Physician
- License
- 036066629
- Practice address
- 200 Berteau Ave
Elmhurst Memorial Hospital / Radiology Department
Elmhurst, IL 60126-2966 - Phone
- (630) 941-4561
- Fax
- (630) 941-4590
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | MD460701 | PA | |
| Nuclear Radiology Physician | 2085N0904X | 036066629 | IL | Primary |
Addresses
Primary practice location
200 Berteau Ave
Elmhurst Memorial Hospital / Radiology Department
Elmhurst, IL 60126-2966
Mailing address
520 E 22ND St
Lombard, IL 60148-6110
Phone (630) 874-2542
Other practice location 1
500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-8044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL, PA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036066629 | IL | MD | Nuclear Radiology Physician |
| MD460701 | PA | MD | Nuclear Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Integrated Imaging Consultants LLC | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Imaging Associates of Indiana, PC | Current | Accepting new patients | |
| Northern Illinois Diagnostic Medical Imaging | Nuclear Radiology | Past | Accepting new patients |
| Advanced Digital Mobile Xray Inc | Past | Accepting new patients | |
| Lakeshore P.E.T Imaging, LLC. | Past | Accepting new patients |
Locations
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
1201 NW 16th St
Miami, FL 33125
Phone (305) 575-3150
1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Cleveland Heights, OH 44106
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
2301 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 282-8000
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
Interoperability endpoints
- rpeiss645162@ehrdirect.uhhospitals.org
Organizations & group practices 13
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.
-
- Diagnostic Radiology Physician
- Park Ridge, IL
- NPI 1700285335
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Hepatology Physician
- Miami, FL
- NPI 1013967827
-
- Nuclear Radiology Physician
- Elmhurst, IL
- NPI 1396744751
-
- Urology Physician
- Voorhees, NJ
- NPI 1407638794
-
- Body Imaging Physician
- Hershey, PA
- NPI 1346215928
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1104876622
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Toluca, IL
- NPI 1487151783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1972505741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E 22ND ST",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486110",
"telephone_number": "630-874-2542",
"fax_number": "630-874-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BERTEAU AVE",
"address_2": "ELMHURST MEMORIAL HOSPITAL / RADIOLOGY DEPARTMENT",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262966",
"telephone_number": "630-941-4561",
"fax_number": "630-941-4590"
}
],
"practiceLocations": [
{
"address_1": "500 University Dr",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170332360",
"country_code": "US",
"telephone_number": "717-531-8044",
"fax_number": "717-531-5596",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEISS",
"first_name": "ROBERT",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "PA",
"license": "MD460701",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "IL",
"license": "036066629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.