LISA J PETERS MD
NPI 1710923164
Plastic Surgery in Forest Park, IL

Q: What is Lisa Peters's NPI number?

The NPI number for Lisa Peters is 1710923164. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Q: What is Lisa Peters's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: Is Lisa Peters enrolled in Medicare?

No. Lisa Peters has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Lisa Peters was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 22, 2006Opted out of Medicare · through Jan 1, 2028

7236 MADISON ST, FOREST PARK, IL 60130(708) 524-1400(708) 524-1441 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Lisa J Peters Md NPPES

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

LISA J PETERS MD (NPI 1710923164) is an individual plastic surgery provider in Forest Park, Illinois, licensed in Illinois (036107308) and active in the NPI registry since June 2006. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1710923164

Entity TypeIndividualFemale

Primary Taxonomy208200000X

Provider Legal NameLISA J PETERSCredential: MD

Location Address7236 MADISON STForest Park, IL 60130-1765

Mailing Address7236 Madison StForest Park, IL 60130-1765 · (708) 524-1400 · Fax (708) 524-1441

Phone(708) 524-1400

Fax(708) 524-1441

Sole ProprietorNo

Enumeration DateJune 22, 2006

Last NPPES UpdateAugust 30, 2023

NPPES CertifiedAugust 30, 2023

✔ NPI 1710923164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in IL · 036107308

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

7236 MADISON ST, Forest Park, IL 60130

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lisa J Peters Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2022 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2022

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

KAREN JANIEC NP

Nurse Practitioner (Family)

7236 MADISON ST
FOREST PARK, IL 60130

Cook County (708) 524-1400

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 Lisa Peters's NPI number?

The NPI number for Lisa Peters is 1710923164. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Lisa Peters located?

Lisa Peters practices at 7236 Madison St, Forest Park, IL 60130. The listed phone number is (708) 524-1400.

What is Lisa Peters's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Lisa Peters enrolled in Medicare?

No. Lisa Peters has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisa Peters was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.