DR. PETER NGUYEN M.D.
NPI 1649653494
Pediatrics - Pediatric Emergency Medicine in Oak Lawn, IL

Active since June 29, 2015PECOS Enrolled
4440 W 95TH ST STE 1200H, OAK LAWN, IL 60453(708) 684-5341(708) 684-4715 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Peter Nguyen M.d. NPPES

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

DR. PETER NGUYEN M.D. (NPI 1649653494) is an individual pediatric emergency medicine provider in Oak Lawn, Illinois, licensed in Illinois (036-172737) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1649653494
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. PETER NGUYENCredential: M.D.
Location Address4440 W 95TH ST STE 1200HOak Lawn, IL 60453-2600
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Fax(708) 684-4715
Sole ProprietorNo
Enumeration DateJune 29, 2015
Last NPPES UpdateApril 18, 2025
NPPES CertifiedApril 18, 2025
✔ NPI 1649653494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in IL · 036-172737
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 4301115622 (MI)
Also ListedPediatricsTaxonomy 208000000X · License 125067744 (IL)
4440 W 95TH ST STE 1200H, Oak Lawn, IL 60453

Secondary Practice Location 1

Location 1100 Michigan St NE # Mc49Grand Rapids, MI 49503 · Phone (616) 391-1680

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter Nguyen 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 Reassignments

2

Medicare enrollment records show Peter Nguyen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Specialty
4440 W 95TH ST
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
Nurse Practitioner
3901 BEAUBIEN
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 360 clinicians in this Medicare group

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 11

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

Nurse Practitioner (Pediatrics)
4440 W 95TH ST STE 1200H
OAK LAWN, IL 60453
Pediatrics (Pediatric Emergency Medicine)
4440 W 95TH ST STE 1200H
OAK LAWN, IL 60453
Pediatrics
4440 W 95TH ST STE 1200H, ADVOCATE CHILDRENS HOSPITAL OAK LAWN
OAK LAWN, IL 60453
Pediatrics (Child Abuse Pediatrics)
4440 W 95TH ST STE 1200H
OAK LAWN, IL 60453
Clinical Neuropsychologist
4440 W 95TH ST STE 1200H
OAK LAWN, IL 60453
Physician Assistant
4440 W 95TH ST STE 1200H
OAK LAWN, IL 60453
Pediatrics (Pediatric Emergency Medicine)
4440 W 95TH ST STE 1200H
OAK LAWN, IL 60453
Nurse Practitioner (Family)
4440 W 95TH ST STE 1200H
OAK LAWN, IL 60453

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 Nguyen's NPI number?

The NPI number for Peter Nguyen is 1649653494. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Peter Nguyen located?

Peter Nguyen practices at 4440 W 95th St Ste 1200H, Oak Lawn, IL 60453. The listed phone number is (708) 684-5341.

What is Peter Nguyen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Peter Nguyen enrolled in Medicare?

Yes. Peter Nguyen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Peter Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Nguyen reassigns Medicare benefits to 2 organizations: Advocate Health & Hospitals Corporation (Oak Lawn, IL) and University Pediatricians (Detroit, MI). Each 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 Peter Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Nguyen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Priority Health list Peter Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Nguyen was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.