Endoscopy Center of the North Shore, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

ENDOSCOPY CENTER OF THE NORTH SHORE, LLC

Practice address

1732 Central St
Evanston, IL 60201-1508

Phone

(847) 256-1855

Fax

(866) 375-3001

NPI assigned

Nov 29, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vlad Halai

Title

Manager

Phone

(847) 256-1855

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shiwen Song, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Buffalo Grove, IL
  • NPI 1538396726

  IL

  Medicare reassignment Care Compare group NPD
• Rebecca Wanting Tsang, M.D., M.P.H.

  • Gastroenterology Physician
  • Evanston, IL
  • NPI 1043531528

  IL, Single Specialty

  Medicare reassignment Care Compare group NPD
• Laura K. Bianchi, MD

  • Gastroenterology Physician
  • Evanston, IL
  • NPI 1932231115

  IL

  Medicare reassignment Care Compare group
• Jim ZB Lu, MD

  • Anatomic Pathology Physician
  • Buffalo Grove, IL
  • NPI 1073590337

  IL

  Medicare reassignment Care Compare group
• Manoj Kumar Mehta, MD

  • Gastroenterology Physician
  • Evanston, IL
  • NPI 1962495200

  IL

  Medicare reassignment Care Compare group

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1013487388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 CENTRAL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011508",
            "telephone_number": "847-256-1855",
            "fax_number": "866-375-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 CENTRAL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011508",
            "telephone_number": "847-256-1855",
            "fax_number": "866-375-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER OF THE NORTH SHORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "HALAI",
        "authorized_official_first_name": "VLAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-256-1855"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Endeavor Health Clinical Operations
• Endeavor Health Clinical Operations
• Endeavor Health Clinical Operations
• Endeavor Health Medical Group
• Endeavor Health Medical Group
• Barbara A. England, L.C.S.W
• Michael England, PSY.D.
• Loretta Engler
• Ila Englof, M.D.
• Samuel Engman, DO

• All providers in Evanston, IL
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.