ROBERT L. PEISS M.D.
NPI 1972505741
Radiology - Nuclear Radiology in Elmhurst, IL
NPI Status: Active since August 11, 2005
Contact Information
200 BERTEAU AVE
ELMHURST MEMORIAL HOSPITAL / RADIOLOGY DEPARTMENT
ELMHURST, IL
ZIP 60126
Phone: (630) 941-4561
Fax: (630) 941-4590
- Individual
- Male
- Years of Experience 46
- Radiology
- Nuclear Radiology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ROBERT PEISS
This page provides the complete NPI Profile along with additional information for Robert Peiss, a provider established in Elmhurst, Illinois with a medical specialization in Radiology, focusing in nuclear radiology and more than 46 years of experience. The healthcare provider is registered in the NPI registry with number 1972505741 assigned on August 2005. The practitioner's primary taxonomy code is 2085N0904X with license number 036066629 (IL). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1972505741
- Provider Name
- ROBERT L. PEISS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 200 BERTEAU AVE ELMHURST MEMORIAL HOSPITAL / RADIOLOGY DEPARTMENT ELMHURST, IL 60126
- Location Phone
- (630) 941-4561
- Location Fax
- (630) 941-4590
- Mailing Address
- 520 E 22ND ST LOMBARD, IL 60148
- Mailing Phone
- (630) 874-2542
- Mailing Fax
- (630) 941-4590
- Medical School Name
- OTHER
- Graduation Year
- 1980
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-11-2005
- Last Update Date
- 09-22-2023
- Code Navigator
Location Map
Secondary Locations
- 500 University Dr
Hershey, PA 17033
(717) 531-8044
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Nuclear Radiology
- Taxonomy Code
- 2085N0904X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036066629
- License State
- IL
- Taxonomy Description
- A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085N0904X | Allopathic & Osteopathic Physicians | Radiology | MD460701 (PA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 10600 $25 Generic Drugs - HMO
- Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Low Premium Silver 6200 $3 Generic Drugs - HMO
- Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Robert Peiss is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Robert Peiss is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7113821364
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250225002721
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
Injection of additional new drug or substance into vein
Injection of drug or substance into vein
Nuclear medicine studies of heart muscle at rest and with stress and spect
Nuclear medicine study from skull base to mid-thigh with ct scan
Nuclear medicine study of lung circulation
Technetium tc-99m sestamibi, diagnostic, per study dose
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
This service was performed 22 times for 22 patientsThis procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.
This service was performed 22 times for 22 patientsThis procedure involves introducing a medication or substance directly into your vein using a syringe. It's a quick and efficient way to deliver treatment throughout your body. You might feel a small prick when the needle enters. It's generally safe and effective.
This service was performed 22 times for 22 patientsNuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
This service was performed 22 times for 22 patientsA nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
This service was performed 22 times for 22 patientsA nuclear medicine study of lung circulation involves the use of a safe, radioactive substance to visualize lung function. It helps in diagnosing conditions like blood clots. The substance is injected and images are taken to study the blood flow in your lungs.
This service was performed 18 times for 18 patientsTechnetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
This service was performed 46 times for 24 patientsReviews for ROBERT L. PEISS M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1972505741, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
ELMHURST, IL 60126
ELMHURST, IL 60126
ELMHURST, IL 60126
ELMHURST, IL 60126
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972505741, enumerated as an "individual" on August 11, 2005.
The provider is located at 200 BERTEAU AVE ELMHURST MEMORIAL HOSPITAL / RADIOLOGY DEPARTMENT ELMHURST, IL 60126 and the phone number is (630) 941-4561.
Radiology with taxonomy code 2085N0904X and a focus in Nuclear Radiology.
The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.