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LORI J WEISS M.D.
NPI 1053314484
Pediatrics - Adolescent Medicine in Berwyn, IL

Active since May 31, 2005PECOS Enrolled
6840 WINDSOR AVE, BERWYN, IL 60402(708) 484-0042(708) 749-5489 Get Directions Write a Review

NPPES record last updated: February 14, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lori J Weiss M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORI J WEISS M.D. (NPI 1053314484) is an individual adolescent medicine provider in Berwyn, Illinois, licensed in Illinois (036074273) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053314484
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameLORI J WEISSCredential: M.D.
Location Address6840 WINDSOR AVEBerwyn, IL 60402-3441
Mailing Address6840 Windsor AveBerwyn, IL 60402-3441 · (708) 484-0042 · Fax (708) 749-5489
Phone(708) 484-0042
Fax(708) 749-5489
Sole ProprietorNo
Enumeration DateMay 31, 2005
Last NPPES UpdateFebruary 14, 2011
✔ NPI 1053314484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in IL · 036074273
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
6840 WINDSOR AVE, Berwyn, IL 60402
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Other Identifiers 3

Medicare ID-Type UnspecifiedL88068IL
Medicare UPINH48176IL
Medicaid036074273IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lori J Weiss M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lori Weiss reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care Associates Ltd
Same address
Family Medicine
6840 WINDSOR AVE
Berwyn, IL 60402
  • Reassigned Medicare billing, Illinois enrollment
  • 14 clinicians in this Medicare group
NPI 1588731764 (708) 484-0042

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRADFORD S. WAINER D.O.
Family Medicine
6840 WINDSOR AVE
BERWYN, IL 60402
Cook County (708) 484-0042
SHEILA ANNE BERNDT M.D.
Family Medicine
6840 WINDSOR AVE
BERWYN, IL 60402
Cook County (708) 484-0042
MATTHEW HSIEH M.D.
Family Medicine
6840 WINDSOR AVE
BERWYN, IL 60402
Cook County (708) 484-0042
NEJAT DESTANI M.D.
Family Medicine
6840 WINDSOR AVE
BERWYN, IL 60402
Cook County (708) 484-0042
PRIMARY CARE ASSOCIATES LTD
Family Medicine
6840 WINDSOR AVE
BERWYN, IL 60402
Cook County (708) 484-0042
MICHAEL GERSHBERG M.D.
Family Medicine
6840 WINDSOR AVE
BERWYN, IL 60402
Cook County (708) 484-0042
GARY WAINER D.O.
Family Medicine
6840 WINDSOR AVE
BERWYN, IL 60402
Cook County (708) 484-0042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lori Weiss's NPI number?

The NPI number for Lori Weiss is 1053314484. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Lori Weiss located?

Lori Weiss practices at 6840 Windsor Ave, Berwyn, IL 60402. The listed phone number is (708) 484-0042.

What is Lori Weiss's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Lori Weiss enrolled in Medicare?

Yes. Lori Weiss is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lori Weiss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Weiss reassigns Medicare benefits to Primary Care Associates Ltd (Berwyn, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lori Weiss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lori Weiss was last updated on February 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.