Individual provider Active NPI

Gregory M Lewis, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Hinsdale, IL
National Provider Identifier
1104864321
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
036075101 Issued in IL
Practice address
908 N Elm St Ste 404
Hinsdale, IL 60521-3638
Phone
(630) 789-3422
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036-075101 IL
Clinical Cardiac Electrophysiology Physician 207RC0001X 036075101 IL Primary

Addresses

Primary practice location

908 N Elm St Ste 404
Hinsdale, IL 60521-3638

Mailing address

900 S Frontage Rd
Suite 325
Woodridge, IL 60517-4903
Phone (630) 789-3422

Other practice location 1

11 Salt Creek Ln
Hinsdale, IL 60521-8601
Phone (630) 789-3422

Other identifiers 3

IdentifierTypeStateIssuer
IL4174011OtherILMEDICARE-LOCALITY 16
IL4177011OtherILMEDICARE-LOCALITY 15
1912218850OtherILNPI GROUP PRACTICE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gregory.lewis.1@380.direct.athenahealth.com

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
I20090609000637 IL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 1850203589 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Vanderbilt University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Partners IncGroup PAC ID 7517154347, 45 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 789-3422

2363 63Rd St
Woodridge, IL 60517-1300
Phone (630) 789-3422

500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 499-4750

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 352-2100

6084 S Archer Ave
Chicago, IL 60638-2747
Phone (773) 585-3131

908 N Elm St
Suite 404
Hinsdale, IL 60521-3638
Phone (630) 789-3422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
70.57
Promoting interoperability
100
Improvement activities
40
Cost
68.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-075101ILMDCardiovascular Disease Physician
036075101ILMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Bolingbrook Hospital CurrentSince Apr 25, 2011 Accepting new patients
Adventist Bolingbrook Hospital CurrentSince Apr 25, 2011 Accepting new patients
Adventist Midwest Health CurrentSince Jan 1, 2000 Accepting new patients
Adventist Midwest Health CurrentSince Jan 1, 2000 Accepting new patients
Adventist Midwest Health Cardiovascular Disease CurrentSince Jan 1, 2000 Accepting new patients
Du Page Pathology Associates SC Current Accepting new patients
Adventist Midwest Health Cardiovascular Disease CurrentSince Jan 1, 2000 Accepting new patients
Adventist Health Partners, Inc Cardiovascular Disease CurrentSince Aug 1, 2010 Accepting new patients
Adventist Bolingbrook Hospital Cardiovascular Disease Current Accepting new patients
Adventist Midwest Health Cardiovascular Disease CurrentSince Jun 28, 2016 Accepting new patients
Adventist Midwest Health CurrentSince Jun 28, 2016 Accepting new patients
West Suburban Cardiologists, LTD. Cardiovascular Disease Current Accepting new patients
Cardiac Surgery Associates SC Past Accepting new patients

Locations

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

1000 Remington Blvd
Ste 200
Bolingbrook, IL 60440
Phone (630) 312-7755

16955 Collection Ctr Dr
Chicago, IL 60693

16955 Collections Ctr Dr
Chicago, IL 60693

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054

908 N Elm St
Ste 404
Hinsdale, IL 60521
Phone (224) 273-8908

11 Salt Creek Ln
Hinsdale, IL 60521
Phone (630) 789-3110

908 N Elm St
Ste 202
Hinsdale, IL 60521
Phone (630) 856-8640

5201 Willow Springs Rd
La Grange Highlands, IL 60525
Phone (630) 323-5214

5201 Willow Springs Rd
Ste 150
La Grange Highlands, IL 60525
Phone (630) 789-9093

5201 Willow Springs Rd
Ste 280
La Grange Highlands, IL 60525
Phone (708) 354-2008

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

15728 S Route 59
Plainfield, IL 60544
Phone (815) 436-8831

2434 Wolf Rd
Westchester, IL 60154
Phone (630) 856-6800

7050 S Madison St
Willowbrook, IL 60527
Phone (630) 323-3680

900 S Frontage Rd
Ste 325
Woodridge, IL 60517

Interoperability endpoints

  • Direct secure messaging: gregory.lewis.1@380.direct.athenahealth.com
  • Direct secure messaging: glewis1240312@adventhealth.direct-ci.com

Organizations & group practices 13

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.

View all 13

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1104864321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S FRONTAGE RD",
            "address_2": "SUITE 325",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605174903",
            "telephone_number": "630-789-3422",
            "fax_number": "630-789-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 404",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213638",
            "telephone_number": "630-789-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Salt Creek Ln",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605218601",
            "country_code": "US",
            "telephone_number": "630-789-3422",
            "fax_number": "630-789-9093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GREGORY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-075101",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036075101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-LOCALITY 16",
            "identifier": "IL4174011",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-LOCALITY 15",
            "identifier": "IL4177011",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP PRACTICE",
            "identifier": "1912218850",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregory.lewis.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "908 N Elm St Ste 404",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605213638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.