Active NPI
Grigory E Gershkovich, M.D.
- Orthopaedic Hand Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- C1-0024073
- Practice address
- 5841 S Maryland Ave # Mc3079
Chicago, IL 60637-1447 - Phone
- (773) 834-1634
- Fax
- (773) 702-4384
- NPI assigned
- Jun 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | C1-0024073 | DE | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 125069742 | IL | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | C1-0024073 | DE | Primary |
Addresses
Primary practice location
5841 S Maryland Ave # Mc3079
Chicago, IL 60637-1447
Mailing address
180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686
Phone (773) 702-1150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- Georgetown University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4745 Ogletown Stanton Rd
Suite 225
Newark, DE 19713-1340
Phone (302) 731-2888
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.8 of 100
- Quality
- 96
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0024073 | DE | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First State Orthopaedics, PA | Orthopaedic Surgery | Current | Accepting new patients |
| First State Orthopaedics PA | Orthopaedic Surgery | Current | Accepting new patients |
| First State Orthopaedics PA | Current | Accepting new patients |
Locations
285 Beiser Blvd
Ste 201
Dover, DE 19904
601 Tower Ln
Ste 201
Middletown, DE 19709
4745 Stanton Ogletown Rd
Ste 225
Newark, DE 19713
Phone 30273128881001
4745 Ogletown Stanton Rd
Ste 238
Newark, DE 19713
211 Executive Dr
Ste 11
Newark, DE 19702
Phone (302) 793-1800
100 S Main St
Ste 300
Smyrna, DE 19977
Phone (302) 389-7855
1401 Foulk Rd
Ste 101
Wilmington, DE 19803
Phone (302) 478-5500
Interoperability endpoints
- grigory.gershkovichmd.p1@direct.fsoortho.nextgenshare.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Lewes, DE
- NPI 1184681488
-
- Physical Therapist
- Newark, DE
- NPI 1679458327
-
- Orthopaedic Surgery Physician
- Newark, DE
- NPI 1346220266
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
-
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1235491069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 HARVESTER DR STE 110",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605276686",
"telephone_number": "773-702-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE # MC3079",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371447",
"telephone_number": "773-834-1634",
"fax_number": "773-702-4384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSHKOVICH",
"first_name": "GRIGORY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-07",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "DE",
"license": "C1-0024073",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "IL",
"license": "125069742",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "DE",
"license": "C1-0024073",
"primary": true
}
],
"identifiers": [],
"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 Nov 8, 2021; 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.