Jeffrey Dean Gindorf, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036078574 Issued in IL

Practice address

600 S Randall Rd
Algonquin, IL 60102-5935

Phone

(847) 658-4793

Fax

(815) 261-5964

NPI assigned

Sep 6, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Jeffrey D Gindorf PC

  • Internal Medicine Physician
  • Algonquin, IL
  • NPI 1659300473
  Medicare reassignment NPD Authorized official
• The Board of Trustees of the University of Illinois

  • Occupational Medicine Physician
  • Chicago, IL
  • NPI 1043727571
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1275527319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S RANDALL RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025935",
            "telephone_number": "847-658-4793",
            "fax_number": "815-261-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S RANDALL RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025935",
            "telephone_number": "847-658-4793",
            "fax_number": "815-261-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINDORF",
        "first_name": "JEFFREY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036078574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036078574",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Senait Gebretsadik
• Georgetown Home Health Care Inc
• Georgetown Home Health Care, Inc.
• Amanda Elizabeth Gerke, DC
• Deborah A Gibson, PHARMD
• Alexandra Gold
• Leanne Goodwin, LCPC
• Donna Gorman
• Debra Gorski, MSW, LSW
• Cynthia Anh Grams, OT

• Internal Medicine Physician in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.