Active NPI
Steven Gitelis, M.D.
- Orthopaedic Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036053564
- Practice address
- 1611 W Harrison St
Ste 400
Chicago, IL 60612-3841 - Phone
- (312) 243-4244
- Fax
- (312) 942-1517
- NPI assigned
- Jan 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 036053564 | IL | |
| Orthopaedic Surgery Physician | 207X00000X | 036053564 | IL | Primary |
Addresses
Primary practice location
1611 W Harrison St
Ste 400
Chicago, IL 60612-3841
Mailing address
1 Westbrook Corporate Ctr
#240
Westchester, IL 60154-5701
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4028614 | Other | IL | AETNA ID# |
| P00231217 | Other | IL | RR MEDICARE ID# |
| 036053564 1 | Medicaid | IL | |
| 207067 | Other | IL | MEDICARE PTAN LOCALITY 16 |
| 207073 | Other | IL | MEDICARE PTAN LOCALITY 15 |
| DA4902 | Other | IL | RR MEDICARE PTAN# |
| 1633878 | Other | IL | BCBS GROUP ID# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Rush Medical College of Rush University, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1520 W Harrison St
Chicago, IL 60607-3106
Phone (312) 942-5904
1620 W Harrison St
Chicago, IL 60612-3801
1653 W Congress Pkwy
Chicago, IL 60612-3833
1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875
2455 Corporate W Dr
Lisle, IL 60532-3622
Phone (312) 226-2371
9200 Calumet Ave
Suite E107
Munster, IN 46321-2885
Phone (219) 806-6585
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036053564 | IL | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Current | Accepting new patients | |
| Midwest Orthopaedics at Rush LLC | Current | Accepting new patients | |
| Midwest Orthopaedics at Rush, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Orthopaedic Surgery | Past | Accepting new patients |
| The Board of Trustees of the University of Illinois | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1725 W Harrison St
Ste 1063
Chicago, IL 60612
Phone (312) 243-4244
1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244
1611 W Harrison St
Chicago, IL 60612
Phone (312) 243-4244
1611 W Harrison St
#400
Chicago, IL 60612
Phone (312) 243-4244
1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
2011 York Rd
Ste 2000A
Oak Brook, IL 60523
Phone (312) 947-7546
1 Westbrook Corporate Ctr
Ste 240
Westchester, IL 60154
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
9200 Calumet Ave
Ste 107
Munster, IN 46321
9200 Calumet Ave
Ste E107
Munster, IN 46321
Phone (219) 806-6585
Interoperability endpoints
- sgitelismd589@direct.rush.rush-health.com
Organizations & group practices 6
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.
-
dba Rush University Internists
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
IN
-
- Orthopaedic Surgery Physician
- Chicago, IL
- NPI 1811942451
-
- Durable Medical Equipment & Medical Supplies
- Orland Park, IL
- NPI 1134871908
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Primary Podiatric Medicine Podiatrist
- Chicago, IL
- NPI 1518185438
Orthopaedic Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1174502843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WESTBROOK CORPORATE CTR",
"address_2": "#240",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 W HARRISON ST",
"address_2": "STE 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123841",
"telephone_number": "312-243-4244",
"fax_number": "312-942-1517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GITELIS",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "IL",
"license": "036053564",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036053564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID#",
"identifier": "4028614",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE ID#",
"identifier": "P00231217",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036053564 1",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN LOCALITY 16",
"identifier": "207067",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN LOCALITY 15",
"identifier": "207073",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN#",
"identifier": "DA4902",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP ID#",
"identifier": "1633878",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.