NPIMap

Individual provider Active NPI

Xavier W Parreno, M.D.

  • Internal Medicine Physician
  • Gurnee, IL
National Provider Identifier
1023085479
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036097735 Issued in IL
Practice address
135 N Greenleaf St
Suite 100
Gurnee, IL 60031-3334
Phone
(847) 336-2150
Fax
(847) 336-2160
NPI assigned
Mar 3, 2006
Last updated
Mar 30, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036097735 IL Primary

Addresses

Primary practice location

135 N Greenleaf St
Suite 100
Gurnee, IL 60031-3334

Mailing address

135 N Greenleaf St
Suite 100
Gurnee, IL 60031-3334
Phone (847) 336-2150

Other identifiers 6

IdentifierTypeStateIssuer
4932456OtherILBCBS
K18088OtherILMCR PIN LAKE COUNTY
202117968OtherILTAX ID #
K18087OtherILMCR PIN COOK COUNTY
14D1039883OtherILCLIA
036097735MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050617000214 IL Practitioner - Internal Medicine 5991749228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

135 N Greenleaf St
Suite 100
Gurnee, IL 60031-3334
Phone (847) 336-2150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
79.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036097735ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Department of Human Services Current Accepting new patients
Xavier W. Parreno, M.D., S.C. Internal Medicine CurrentSince May 13, 2005 Accepting new patients
Illinois Department of Human Sevices CurrentSince Jan 17, 2011 Accepting new patients
Illinois Department of Human Services CurrentSince Jan 17, 2011 Accepting new patients
Care Solutions, Inc. Past Accepting new patients
Greenleaf Medical Associates S.C. Internal Medicine Past Accepting new patients
Suburban Foot and Ankle Specialists P.C. Past Accepting new patients

Locations

7105 Virginia Rd
Ste 16
Crystal Lake, IL 60014
Phone (815) 301-4034

606 Potter Rd
Des Plaines, IL 60016
Phone (800) 570-8809

135 N Greenleaf St
Ste 100
Gurnee, IL 60031
Phone (847) 244-7223

6421 N Hamlin Ave
Lincolnwood, IL 60712
Phone (847) 763-9420

100 S Grand Ave E
Springfield, IL 62762

1401 W Dugdale Rd
Waukegan, IL 60085
Phone (847) 249-0600

2605 Grand Ave
Waukegan, IL 60085
Phone (847) 336-2150

Organizations & group practices 7

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1023085479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N GREENLEAF ST",
            "address_2": "SUITE 100",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313334",
            "telephone_number": "847-336-2150",
            "fax_number": "847-336-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N GREENLEAF ST",
            "address_2": "SUITE 100",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313334",
            "telephone_number": "847-336-2150",
            "fax_number": "847-336-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRENO",
        "first_name": "XAVIER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036097735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4932456",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR PIN LAKE COUNTY",
            "identifier": "K18088",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "202117968",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR PIN COOK COUNTY",
            "identifier": "K18087",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D1039883",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036097735",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.