Active NPI
James Stephen Grober, MD
- Rheumatology Physician
- Evanston, IL
National Provider Identifier
1063434256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 036082262
- Practice address
- 1000 Central St
Suite 800
Evanston, IL 60201-1777 - Phone
- (847) 570-1206
- Fax
- (847) 570-1248
- NPI assigned
- Jul 24, 2006
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 036082262 | IL | Primary |
Addresses
Primary practice location
1000 Central St
Suite 800
Evanston, IL 60201-1777
Mailing address
2650 Ridge Ave
Evanston Hospital
Evanston, IL 60201-1718
Phone (847) 570-1206
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1620385 | Other | IL | BCBS PPO |
| 660002720 | Other | IL | RAILROAD MEDICARE |
| 036-082262 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jgrober5179@direct.northshore.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- jgrober5179@direct.northshore.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1063434256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"address_2": "EVANSTON HOSPITAL",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011718",
"telephone_number": "847-570-1206",
"fax_number": "847-570-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CENTRAL ST",
"address_2": "SUITE 800",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011777",
"telephone_number": "847-570-1206",
"fax_number": "847-570-1248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROBER",
"first_name": "JAMES",
"middle_name": "STEPHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IL",
"license": "036082262",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PPO",
"identifier": "1620385",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "660002720",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-082262",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jgrober5179@direct.northshore.org",
"affiliation": "N",
"address_1": "1000 Central St",
"address_2": "Suite 800",
"city": "Evanston",
"state": "IL",
"country_code": "US",
"postal_code": "602011777",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.