NPIMap

Individual provider Active NPI

George Branovacki, MD

  • Orthopaedic Surgery Physician
  • Orland Park, IL
National Provider Identifier
1083661086
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036-109227 Issued in IL
Practice address
10719 West 160TH Street
Orland Park, IL 60467-5541
Phone
(708) 226-3300
Fax
(708) 226-4202
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036-109227 IL Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 036-109227 IL

Addresses

Primary practice location

10719 West 160TH Street
Orland Park, IL 60467-5541

Mailing address

75 Remittance Drive
Suite 6581
Orland Park, IL 60675-6581
Phone (708) 226-3300

Other identifiers 2

IdentifierTypeStateIssuer
036109227OtherILBLUE CROSS BLUE SHIELD PROVIDER NUMBER
250013909OtherILRAILROAD MEDICARE PROVIDER NUMBER

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gbranovacki263381@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/myaurora/api/fhir/dstu2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050813000141 IL Practitioner - Orthopedic Surgery 7214914993 Reassigns benefits to 1 organization
I20140715000236 IN Practitioner - Orthopedic Surgery 7214914993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Orthopedic Consultants SCGroup PAC ID 8022911031, 27 clinicians

Practice addresses (Care Compare)

10719 160TH St
Orland Park, IL 60467-5541
Phone (708) 226-3300

4220 W 95TH St
Suite 100
Oak Lawn, IL 60453-3072
Phone (708) 226-3300

9200 Calumet Ave
Suite 100
Munster, IN 46321-2885
Phone (219) 595-0789

Hospital & facility affiliations

  • Aspire Home Healthcare, LLC Home health agency, Morton Grove, IL, CCN 148139
  • One Home Health Agency, LTD Home health agency, Crystal Lake, IL, CCN 148296
  • Medpro Health Providers Home health agency, Tinley Park, IL, CCN 148246
  • Interim Healthcare of Chicago Home health agency, Alsip, IL, CCN 147182
  • Ebenezer Home Health Service, LLC Home health agency, Tinley Park, IL, CCN 148022
  • Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Riverside Medical Center Hospital, Kankakee, IL, CCN 140186

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement88
Knee replacement160
Lower limb (leg) arthroscopy (minimally invasive joint repair)12
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-109227ILMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopedic Consultants SC Orthopaedic Surgery CurrentSince Aug 29, 2005 Accepting new patients
Dune Grass Surgical Suites, LLC PastSince Mar 1, 2022 Accepting new patients

Locations

75 Remittance Dr
Dept 6581
Chicago, IL 60675

4220 W 95th St
Ste 100
Oak Lawn, IL 60453
Phone (708) 226-3300

10719 160th St
Orland Park, IL 60467
Phone (702) 263-3300

9200 Calumet Ave
Ste 100
Munster, IN 46321
Phone (219) 595-0789

9200 Calumet Ave
Ste N500
Munster, IN 46321
Phone (219) 513-9955

Interoperability endpoints

  • Direct secure messaging: gbranovacki@orthoexperts.emadirect.md
  • Direct secure messaging: gbranovacki@midwestortho.exscribedirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1083661086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DRIVE",
            "address_2": "SUITE 6581",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "606756581",
            "telephone_number": "708-226-3300",
            "fax_number": "708-226-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10719 WEST 160TH STREET",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675541",
            "telephone_number": "708-226-3300",
            "fax_number": "708-226-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANOVACKI",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036-109227",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "IL",
            "license": "036-109227",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PROVIDER NUMBER",
            "identifier": "036109227",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "250013909",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gbranovacki263381@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10719 West 160th Street",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604675541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/myaurora/api/fhir/dstu2/",
            "affiliation": "N",
            "address_1": "10719 West 160th Street",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604675541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.