Individual provider Active NPI

William Piccione, MD

  • Vascular Surgery Physician
  • Oak Park, IL
National Provider Identifier
1982768461
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
036074399 Issued in IL
Practice address
610 S Maple
Suite 2800
Oak Park, IL 60304-1091
Phone
(312) 563-4120
Fax
(312) 563-4127
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 036074399 IL Primary

Addresses

Primary practice location

610 S Maple
Suite 2800
Oak Park, IL 60304-1091

Mailing address

610 S Maple
Suite 2800
Oak Park, IL 60304-1091
Phone (312) 563-4120

Other identifiers 1

IdentifierTypeStateIssuer
036074399MedicaidIL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040123000350 IL Practitioner - Vascular Surgery 8426950072 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036074399ILMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William Piccione MD LLC Vascular Surgery CurrentSince Jan 1, 2004 Accepting new patients
DPMS Medical LLC CurrentSince Jan 5, 2025 Accepting new patients
Rush University Medical Center Past Accepting new patients

Locations

610 S Maple Ave
Ste 2800
Oak Park, IL 60304
Phone (312) 563-4120

1000 Skokie Blvd
Ste 350
Wilmette, IL 60091
Phone (847) 256-8600

1000 Skokie Blvd
Ste 360
Wilmette, IL 60091
Phone (847) 256-8600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1982768461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S MAPLE",
            "address_2": "SUITE 2800",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041091",
            "telephone_number": "312-563-4120",
            "fax_number": "312-563-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S MAPLE",
            "address_2": "SUITE 2800",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041091",
            "telephone_number": "312-563-4120",
            "fax_number": "312-563-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCIONE",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036074399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074399",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.