Dr. Ryan Michael Weiss, MD
Internal Medicine, Nephrology in La Grange Highlands, IL. Individual provider (NPI-1).
NPI number1295239762
StatusActive
Last updated in NPPESAug 4, 2025
Details
- NPI
- 1295239762
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ryan Michael Weiss
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2018
- Certification date
- Aug 4, 2025
- Last updated
- Aug 4, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NEPHROLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 036.155384 | IL | Yes |
| 207P00000X | Emergency Medicine | 54096 | KY | |
| 207R00000X | Internal Medicine | 036.155384 | IL | |
| 207R00000X | Internal Medicine | 54096 | KY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 036.155384 | IL |
Practice location
5201 Willow Springs Rd Ste 260La Grange Highlands, IL 60525-6537
Phone 708-354-1306 · Fax 708-354-1538
Mailing address
120 W 22nd StOak Brook, IL 60523-1557
Phone 630-573-5000 · Fax 630-491-5472
Other practice locations
5841 S Maryland Ave
Chicago, IL 60637-1443
Chicago, IL 60637-1443
Phone 773-702-1150
2055 W Army Trail Rd Ste 110e
Addison, IL 60101-1478
Addison, IL 60101-1478
Phone 708-354-1306 · Fax 708-354-1538
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Nephrology Physician providers in La Grange Highlands, IL
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