Individual provider Active NPI

Robert L. Peiss, M.D.

  • Nuclear Radiology Physician
  • Elmhurst, IL
National Provider Identifier
1972505741
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
036066629 Issued in IL
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

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20041008001424 IL Practitioner - Nuclear Medicine 7113821364 Reassigns benefits to 2 organizations
I20230225000180 FL Practitioner - Nuclear Medicine 7113821364 Reassigns benefits to 1 organization
I20231011000084 PA Practitioner - Nuclear Medicine 7113821364 Reassigns benefits to 2 organizations
I20250225002721 OH Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 7113821364 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036066629ILMDNuclear Radiology Physician
MD460701PAMDNuclear Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince Oct 9, 2023 Accepting new patients
University of Miami CurrentSince Feb 1, 2023 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Mar 7, 2025 Accepting new patients
Integrated Imaging Consultants LLC CurrentSince Jan 15, 2018 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Apr 1, 2025 Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Feb 1, 2023 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Mar 7, 2025 Accepting new patients
Imaging Associates of Indiana, PC CurrentSince Apr 22, 2023 Accepting new patients
Northern Illinois Diagnostic Medical Imaging Nuclear Radiology PastSince Oct 22, 2004 Accepting new patients
Advanced Digital Mobile Xray Inc PastSince Jan 1, 2008 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

  • Direct secure messaging: 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.

View all 13

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

Verify at the official NPI Registry.