Individual provider Active NPI

Gregory R Olson, M.D.

  • Infectious Disease Physician
  • Palos Heights, IL
National Provider Identifier
1326428103
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036.146290 Issued in IL
Practice address
7804 W College Dr Ste 1NW
Palos Heights, IL 60463-1025
Phone
(708) 361-5778
NPI assigned
Jun 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 264177 MA
Infectious Disease Physician 207RI0200X 036.146290 IL Primary

Addresses

Primary practice location

7804 W College Dr Ste 1NW
Palos Heights, IL 60463-1025

Mailing address

7804 W College Dr Ste 1NW
Palos Heights, IL 60463-1025

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address golson313167@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20200507000263 IL Practitioner - Infectious Disease 4385952886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Infectious Disease and Internal Medicine S CGroup PAC ID 3779555362, 11 clinicians

Practice addresses (Care Compare)

7804 W College Dr
Palos Heights, IL 60463-1025
Phone (708) 361-5778

Hospital & facility affiliations

  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Infectious Disease & Internal Medicine S C Infectious Disease CurrentSince May 1, 2021 Accepting new patients
The University of Chicago Medical Center CurrentSince Apr 2, 2020 Accepting new patients
The University of Chicago Medical Center CurrentSince Apr 2, 2020 Accepting new patients
John V. Kelly MD, PC PastSince May 1, 2021 Accepting new patients
Id Associates Limited Infectious Disease PastSince Jul 4, 2021 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

7804 W College Dr
Ste 1NW
Palos Heights, IL 60463
Phone (708) 361-5778

7804 W College Dr
Palos Heights, IL 60463
Phone (708) 361-5778

7804 W College Dr
Ste 1N
Palos Heights, IL 60463
Phone (708) 361-5778

Interoperability endpoints

  • Direct secure messaging: golsonmd165230@uchospital.direct-ci.com
  • Direct secure messaging: golson313167@direct.myadvocateaurora.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1326428103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 W COLLEGE DR STE 1NW",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7804 W COLLEGE DR STE 1NW",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631025",
            "telephone_number": "708-361-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "GREGORY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "264177",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036.146290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "golson313167@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7804 W College Dr Ste 1Nw",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7804 W College Dr Ste 1Nw",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.