Active NPI
James A Gramm
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Olympia Fields, IL
National Provider Identifier
1124084900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 036086849
- Practice address
- 20201 S Crawford Ave
Olympia Fields, IL 60461 - Phone
- (708) 747-4000
- Fax
- (708) 502-3814
- NPI assigned
- Apr 21, 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036086849 | IL | Primary |
Addresses
Primary practice location
20201 S Crawford Ave
Olympia Fields, IL 60461
Mailing address
2650 Warrenville Rd
Suite 280
Downers Grove, IL 60515
Phone (630) 324-7900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344390 | Other | DUPAGE GROUP | |
| 3608649 | Medicaid | IL | |
| 526620 | Other | COOK GROUP |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arterial and Cardiothoracic Surgery Consultants | Past | Accepting new patients | |
| Loyola University Physician Foundation | Past | Accepting new patients |
Interoperability endpoints
- jgramm221930@mhsdirect.net
- jgramm252247@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.
-
- General Practice Physician
- Maywood, IL
- NPI 1235148891
-
- Specialist
- Washington Terrace, UT
- NPI 1053495291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1124084900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 WARRENVILLE RD",
"address_2": "SUITE 280",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "60515",
"telephone_number": "630-324-7900",
"fax_number": "630-324-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20201 S CRAWFORD AVE",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "60461",
"telephone_number": "708-747-4000",
"fax_number": "708-502-3814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAMM",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IL",
"license": "036086849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DUPAGE GROUP",
"identifier": "344390",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3608649",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COOK GROUP",
"identifier": "526620",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.