Individual provider Active NPI

Aaron N. Grossman, M.D.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1285740167
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-073310 Issued in IL
Practice address
6801 N. California Ave
Chicago, IL 60645-4512
Phone
(773) 743-4300
Fax
(773) 743-5132
NPI assigned
Aug 22, 2006
Last updated
Nov 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036-073310 IL Primary

Addresses

Primary practice location

6801 N. California Ave
Chicago, IL 60645-4512

Mailing address

6801 N. California Ave
Chicago, IL 60645-4512
Phone (773) 743-4300

Other identifiers 1

IdentifierTypeStateIssuer
036073310MedicaidIL

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
I20100607000830 IL Practitioner - Ophthalmology 6709916430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Eastern Virginia Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgeons SCGroup PAC ID 2860521168, 2 clinicians

Practice addresses (Care Compare)

6801 N California Ave
Chicago, IL 60645-4512
Phone (773) 743-4300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-073310ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgeons SC Ophthalmology CurrentSince Aug 17, 1994 Accepting new patients

Locations

6801 N California Ave
Chicago, IL 60645
Phone (312) 583-7900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1285740167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 N. CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454512",
            "telephone_number": "773-743-4300",
            "fax_number": "773-743-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 N. CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454512",
            "telephone_number": "773-743-4300",
            "fax_number": "773-743-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "AARON",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-073310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036073310",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.