Individual provider Active NPI

Gordon R Gluckman, MD

  • Urology Physician
  • Mount Prospect, IL
National Provider Identifier
1366480170
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036090439 Issued in IL
Practice address
1660 Feehanville Dr Ste 200
Mount Prospect, IL 60056-6036
Phone
(847) 823-3185
Fax
(847) 823-3318
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036090439 IL Primary

Addresses

Primary practice location

1660 Feehanville Dr Ste 200
Mount Prospect, IL 60056-6036

Mailing address

1660 Feehanville Dr Ste 200
Mount Prospect, IL 60056-6036
Phone (847) 823-3185

Other identifiers 1

IdentifierTypeStateIssuer
036090439MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gordongluckman@uropart.allscriptsdirect.net

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
I20050730000098 IL Practitioner - Urology 0446162192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Northwestern University Feinberg Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uropartners LLC 133 clinicians

Practice addresses (Care Compare)

1051 Perimeter Dr
Suite 150
Schaumburg, IL 60173-5075
Phone (847) 823-3185

1660 Feehanville Dr
Suite 200
Mount Prospect, IL 60056-6036
Phone (847) 823-3185

1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-2210

2235 Enterprise Dr
Suite 3510
Westchester, IL 60154-5806
Phone (847) 957-4670

2600 Patriot Blvd
J
Glenview, IL 60026-8024
Phone (224) 260-3100

800 Biesterfield Rd
Elk Grove Village, IL 60007-3361
Phone (847) 437-5500

Hospital & facility affiliations

  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036090439ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uropartners, LLC Urology Current Accepting new patients
Uropartners, LLC Urology CurrentSince Jul 1, 2005 Accepting new patients
Uropartners, LLC Urology CurrentSince Apr 17, 2010 Accepting new patients
Uropartners, LLC Urology Current Accepting new patients
Uropartners, LLC Urology Current Accepting new patients
United Shockwave Services, LTD. CurrentSince Mar 1, 1995 Accepting new patients
Uropartners LLC Urology Current Accepting new patients
United Shockwave Services, LTD. Urology CurrentSince Mar 1, 1995 Accepting new patients

Locations

3183 Paysphere Cir
Chicago, IL 60674

7447 W Talcott Ave
Ste 427
Chicago, IL 60631
Phone (312) 775-0800

900 Rand Rd
Ste 120
Des Plaines, IL 60016
Phone (312) 623-8993

2600 Patriot Blvd
Ste J
Glenview, IL 60026
Phone (224) 260-3100

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

1660 Feehanville Dr
Ste 200
Mt Prospect, IL 60056

7900 N Milwaukee Ave
Ste 17
Niles, IL 60714
Phone (847) 470-1500

7900 N Milwaukee Ave
Ste 16-A
Niles, IL 60714
Phone (847) 626-0124

1875 W Dempster St
Ste G04
Park Ridge, IL 60068
Phone (630) 684-9361

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222

2225 Enterprise Dr
Ste 2511
Westchester, IL 60154
Phone (708) 486-0076

815 Pasquinelli Dr
Westmont, IL 60559
Phone (630) 366-7854

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 7

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1366480170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 200",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566036",
            "telephone_number": "847-823-3185",
            "fax_number": "847-823-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 200",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566036",
            "telephone_number": "847-823-3185",
            "fax_number": "847-823-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUCKMAN",
        "first_name": "GORDON",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036090439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090439",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gordongluckman@uropart.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "900 Rand Rd",
            "address_2": "Ste 120",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600162359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.