Individual provider Active NPI

Aaron M Siegel, MD

  • Surgery Physician
  • Gurnee, IL
National Provider Identifier
1356332860
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036079055 Issued in IL
Practice address
1 S Greenleaf St
Ste a
Gurnee, IL 60031-3370
Phone
(847) 856-2525
Fax
(847) 856-1969
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036079055 IL Primary

Addresses

Primary practice location

1 S Greenleaf St
Ste a
Gurnee, IL 60031-3370

Mailing address

1 S Greenleaf St
Ste a
Gurnee, IL 60031-3370
Phone (847) 856-2525

Other identifiers 1

IdentifierTypeStateIssuer
036079055MedicaidIL

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
I20101026001173 IL Practitioner - General Surgery 3476517772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Chicago College of Medicine and Surgery, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

222 S Greenleaf St
Suite 112
Gurnee, IL 60031-5705
Phone (847) 856-2525

Hospital & facility affiliations

  • Vista Medical Center East Hospital, Waukegan, IL, CCN 140084
  • Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036079055ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County General and Vascular Surgical Associates, P.C. Surgery CurrentSince Jul 1, 1996 Accepting new patients
North Suburban Dermatology Associates,SC PastSince Jul 1, 1996 Accepting new patients

Locations

222 S Greenleaf St
Ste 112
Gurnee, IL 60031
Phone (847) 336-8427

1 S Greenleaf St
Ste A
Gurnee, IL 60031
Phone (847) 662-8201

Organizations & group practices 2

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1356332860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S GREENLEAF ST",
            "address_2": "STE A",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313370",
            "telephone_number": "847-856-2525",
            "fax_number": "847-856-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S GREENLEAF ST",
            "address_2": "STE A",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313370",
            "telephone_number": "847-856-2525",
            "fax_number": "847-856-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "AARON",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036079055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036079055",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.