DR. PETER T JOO M.D.
NPI 1336181197
Internal Medicine - Adolescent Medicine in Melrose Park, IL
About Dr. Peter T Joo M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PETER T JOO M.D. (NPI 1336181197) is an individual adolescent medicine provider in Melrose Park, Illinois, licensed in Illinois (036103200) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Peter T Joo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MELROSE PARK, IL 60160
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 Peter Joo's NPI number?
The NPI number for Peter Joo is 1336181197. It was assigned to this individual provider in the NPPES registry on June 13, 2006.
Where is Peter Joo located?
Peter Joo practices at 701 W North Ave, Melrose Park, IL 60160. The listed phone number is (708) 681-3200.
What is Peter Joo's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.
Is Peter Joo enrolled in Medicare?
Yes. Peter Joo is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Peter Joo was last updated on January 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Peter T Joo, M.D. · NPI 1336181197
Adolescent Medicine physician in Melrose Park, Illinois. Individual provider, active in the CMS NPPES registry since June 13, 2006.
## Identity
- **NPI:** 1336181197 (Entity type: Individual)
- **Enumerated:** June 13, 2006
- **Primary specialty:** Internal Medicine - Adolescent Medicine · taxonomy 207RA0000X
- **State license:** 036103200 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 W NORTH AVE, Melrose Park, IL 60160-1612
- **Phone:** (708) 681-3200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 19, 2010
- **Other identifiers:** Medicare UPIN H48006 (IL); Medicare UPIN R00048 (IL); Medicaid 036103200 (IL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1336181197) · Data from the CMS NPPES public registry.