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JOHN ARTHUR WILEY M.D.
NPI 1487612834
Internal Medicine - Geriatric Medicine in Chicago, IL

Active since May 03, 2006PECOS EnrolledCLIA 14D0427012 · Waiver
5300 W DIVERSEY AVE, CHICAGO, IL 60639(773) 725-0990 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Arthur Wiley M.d. NPPES

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

JOHN ARTHUR WILEY M.D. (NPI 1487612834) is an individual geriatric medicine provider in Chicago, Illinois, licensed in Illinois (036-069176) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through August 31, 2026.

NPPES Registry Identity

NPI1487612834
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameJOHN ARTHUR WILEYCredential: M.D.
Location Address5300 W DIVERSEY AVEChicago, IL 60639-1513
Mailing Address5300 W Diversey AveChicago, IL 60639-1513 · (773) 725-0990
Phone(773) 725-0990
Sole ProprietorYes
Enumeration DateMay 3, 2006
Last NPPES UpdateJune 30, 2008
✔ NPI 1487612834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in IL · 036-069176
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
5300 W DIVERSEY AVE, Chicago, IL 60639
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Other Identifiers 5

Medicare UPIND16045IL
Other0004531987IL · Aetna
Other0031601867IL · Blue Shield
Medicare PIN752760IL
Medicaid036069176IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Arthur Wiley 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0427012

John A Wiley MD · Chicago, IL
Active · expires Aug 31, 2026
CLIA Number14D0427012
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJohn A. Wiley
Laboratory Phone(312) 725-0990
Laboratory LocationJohn A Wiley MD5300 W Diversey Ave, Chicago, IL 60639
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60639 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. KENNETH N. MEYER D.D.S.
Dentist (General Practice)
5300 W DIVERSEY AVE
CHICAGO, IL 60639
Cook County (733) 202-1500
DIVERSEY DENTAL CENTER
Dentist
5300 W DIVERSEY AVE
CHICAGO, IL 60639
Cook County (773) 202-1500

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 John Wiley's NPI number?

The NPI number for John Wiley is 1487612834. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is John Wiley located?

John Wiley practices at 5300 W Diversey Ave, Chicago, IL 60639. The listed phone number is (773) 725-0990.

What is John Wiley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is John Wiley enrolled in Medicare?

Yes. John Wiley is registered in the Medicare PECOS enrollment system.

Does John Wiley hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0427012) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for John Wiley was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.