NPIMap

Individual provider Active NPI

Walter Reid Glaws, D O

  • Gastroenterology Physician
  • Gurnee, IL
National Provider Identifier
1104828532
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036-084001 Issued in IL
Practice address
20 Tower CT
Suite C
Gurnee, IL 60031-5711
Phone
(847) 244-2960
Fax
(847) 244-2986
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

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
Gastroenterology Physician 207RG0100X 036-084001 IL Primary

Addresses

Primary practice location

20 Tower CT
Suite C
Gurnee, IL 60031-5711

Mailing address

20 Tower CT
Suite C
Gurnee, IL 60031-5711
Phone (847) 244-2960

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address wglaws235986@direct.myadvocateaurora.org Direct
Direct Messaging Address GIAMidwest-LSG@directaddress.net 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
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
I20040719001211 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 2769461094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Illinois Gastroenterology Group LLCGroup PAC ID 5193857423, 116 clinicians

Practice addresses (Care Compare)

20 Tower Court C
Gurnee, IL 60031-5711
Phone (847) 244-2960

Hospital & facility affiliations

  • Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
  • Vista Medical Center East Hospital, Waukegan, IL, CCN 140084
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130
  • Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291

Merit-based Incentive Payment System (MIPS)

Final score
84.21 of 100Reported as group
Quality
67.65
Promoting interoperability
99
Improvement activities
40
Cost
80.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy110
Upper gastrointestinal (GI) endoscopy for acid reflux125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-084001ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Gastroenterologists SC Current Accepting new patients
Illinois Gastroenterology Group, LLC Gastroenterology CurrentSince Jun 1, 2010 Accepting new patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients
Elgin Gastroenterology SC Gastroenterology Current Accepting new patients
Lake County Internal Medicine Associates, LLC Past Accepting new patients
Lake Shore Gastroenterology Gastroenterology Past Accepting new patients
Lake Shore Gastroenterolgy SC Gastroenterology Past Accepting new patients

Locations

1100 W Central Rd
Arlington Hts, IL 60005
Phone (847) 259-2410

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

800 Austin St
Ste 403
Evanston, IL 60202
Phone (847) 491-9020

20 Tower Ct
Ste C
Gurnee, IL 60031
Phone (847) 244-2960

806 Central Ave
Ste 202
Highland Park, IL 60035
Phone (847) 433-9840

101 Waukegan Rd
Ste 980
Lake Bluff, IL 60044
Phone (847) 457-1060

900 Garfield Ave
Libertyville, IL 60048
Phone (847) 362-2900

755 S Milwaukee Ave
Ste 195
Libertyville, IL 60048
Phone (847) 367-4277

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1104828532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TOWER CT",
            "address_2": "SUITE C",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315711",
            "telephone_number": "847-244-2960",
            "fax_number": "847-244-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TOWER CT",
            "address_2": "SUITE C",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315711",
            "telephone_number": "847-244-2960",
            "fax_number": "847-244-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAWS",
        "first_name": "WALTER",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "D O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036-084001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wglaws235986@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20 Tower Ct",
            "address_2": "Suite C",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600315711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GIAMidwest-LSG@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20 Tower Ct",
            "address_2": "Suite C",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600315711",
            "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": "20 Tower Ct",
            "address_2": "Suite C",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600315711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.