NPIMap

Individual provider Active NPI

Gordon James Kinzler, M.D.

  • Urology Physician
  • Elmhurst, IL
National Provider Identifier
1386663425
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036-071519 Issued in IL
Practice address
1200 S York Rd
Suite 4290
Elmhurst, IL 60126-5626
Phone
(630) 758-8600
Fax
(630) 758-8603
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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 036-071519 IL Primary

Addresses

Primary practice location

1200 S York Rd
Suite 4290
Elmhurst, IL 60126-5626

Mailing address

929 Newton Ave
Glen Ellyn, IL 60137-3772
Phone (630) 545-9739

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gkinzler232038@direct.luhs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070124000013 IL Practitioner - Urology 0648271346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1200 S York St
Suite 4290
Elmhurst, IL 60126-5632
Phone (630) 758-8600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.83 of 100Reported as individual
Quality
71.67
Improvement activities
40

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
036-071519ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center Current Accepting new patients
Orthopaedic and Spine Surgery Center,LTD Past Accepting new patients

Locations

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

Organizations & group practices 4

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 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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1386663425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 NEWTON AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601373772",
            "telephone_number": "630-545-9739",
            "fax_number": "630-545-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S YORK RD",
            "address_2": "SUITE 4290",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265626",
            "telephone_number": "630-758-8600",
            "fax_number": "630-758-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINZLER",
        "first_name": "GORDON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036-071519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gkinzler232038@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1200 S York Rd",
            "address_2": "Suite 4290",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601265626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.