Individual provider Active NPI

Craig H Gerstein, M.D.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1083712681
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-104297 Issued in IL
Practice address
3042 W Peterson Ave
Chicago, IL 60659-3729
Phone
(773) 973-3223
Fax
(773) 973-1119
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036-104297 IL Primary

Addresses

Primary practice location

3042 W Peterson Ave
Chicago, IL 60659-3729

Mailing address

3042 W Peterson Ave
Chicago, IL 60659-3729
Phone (773) 973-3223

Other identifiers 3

IdentifierTypeStateIssuer
036104297-1MedicaidIL
180042637OtherILRAILROAD MEDICARE NUMBER
1627829OtherILBCBS PROVIDER NUMBER

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address cgerstein255486@direct.myadvocateaurora.org Health Information Exchange (HIE)
Direct Messaging Address craig.gerstein.p1@direct.gei.nextgenshare.com Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000249 IL Practitioner - Ophthalmology 3779470992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3042 W Peterson Ave
Chicago, IL 60659-3729
Phone (773) 973-3223

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.35 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
77.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-104297ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gerstein Eye Institute Ophthalmology CurrentSince Nov 1, 2004 Accepting new patients
Gerstein Eye Institute Ophthalmology CurrentSince Jun 1, 2001 Accepting new patients

Locations

3042 W Peterson Ave
Chicago, IL 60659
Phone (773) 973-3223

Interoperability endpoints

  • Direct secure messaging: craig.gerstein.p1@direct.gei.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: cgerstein255486@direct.myadvocateaurora.org

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 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1083712681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3042 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593729",
            "telephone_number": "773-973-3223",
            "fax_number": "773-973-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593729",
            "telephone_number": "773-973-3223",
            "fax_number": "773-973-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTEIN",
        "first_name": "CRAIG",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-104297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104297-1",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "180042637",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "1627829",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "Advocate Illinois Masonic EPIC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "836 W Wellington Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606575147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgerstein255486@direct.myadvocateaurora.org",
            "affiliation": "N",
            "endpointDescription": "Advocate Illinois Masonic EPIC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "836 W Wellington Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606575147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craig.gerstein.p1@direct.gei.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Gerstein Eye Institute Nextgen",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3042 W Peterson Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606593729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.