Active NPI
Jason T Garti, M.D.
- Internal Medicine Physician
- Lake Forest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036096450
- Practice address
- 800 N Westmoreland Rd
Suite 100
Lake Forest, IL 60045-1673 - Phone
- (847) 234-8866
- Fax
- (824) 234-4682
- NPI assigned
- Nov 30, 2005
- Last updated
- Sep 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036096450 | IL | Primary |
Addresses
Primary practice location
800 N Westmoreland Rd
Suite 100
Lake Forest, IL 60045-1673
Mailing address
915 S Waukegan Rd Ste 200
Lake Forest, IL 60045-2654
Phone (224) 516-4108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036096450 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jgarti18278@direct.northshore.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
915 S Waukegan Rd
Lake Forest, IL 60045-2654
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036096450 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Internal Medicine | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
71 Waukegan Rd
Ste 700
Lake Bluff, IL 60044
Phone (224) 251-2020
800 N Westmoreland Rd
Ste 100
Lake Forest, IL 60045
Phone (847) 535-6083
915 S Waukegan Rd
Ste 200
Lake Forest, IL 60045
Phone (224) 516-4108
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Internal Medicine
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Evanston Hospital
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
dba Northwestern Medicine Lake Forest Hospital
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
-
dba Residential Home Health
- Home Health Agency
- Northbrook, IL
- NPI 1114673787
-
dba Endeavor Health Swedish Hospital
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1003890500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 S WAUKEGAN RD STE 200",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600452654",
"telephone_number": "224-516-4108",
"fax_number": "224-516-4116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N WESTMORELAND RD",
"address_2": "SUITE 100",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451673",
"telephone_number": "847-234-8866",
"fax_number": "824-234-4682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARTI",
"first_name": "JASON",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036096450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036096450",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jgarti18278@direct.northshore.org",
"affiliation": "N",
"address_1": "800 N Westmoreland Rd",
"address_2": "SUITE 100",
"city": "Lake Forest",
"state": "IL",
"country_code": "US",
"postal_code": "600451673",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.