Gregory C Nacopoulos, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036102151 Issued in IL

Practice address

1000 N Allen St
Robinson, IL 62454-1114

Phone

(618) 546-2618

Fax

(618) 546-2648

NPI assigned

Sep 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

General SurgeryAlso: Vascular Surgery

Education

Midwestern University, Chicago College of Osteopathic Med, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thorek Memorial HospitalGroup PAC ID 4981593399, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thorek Memorial Hospital Hospital, Chicago, IL, CCN 140115
• Roseland Community Hospital Hospital, Chicago, IL, CCN 140068

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982643961
  Medicare reassignment Care Compare group
• Baptist Health Medical Group Inc

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1780961300

  Surgery

  NPD (past)

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

• Roseland Community Hospital Association

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1568472819
  Care Compare affiliation
• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982643961
  Care Compare affiliation

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1407953987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N ALLEN ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541114",
            "telephone_number": "618-546-2618",
            "fax_number": "618-546-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N ALLEN ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541114",
            "telephone_number": "618-546-2618",
            "fax_number": "618-546-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACOPOULOS",
        "first_name": "GREGORY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036102151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IL",
            "identifier": "01627719",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102151",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Mulbury, MD
• Sherri K Murrell, LCSW
• Brad Musgrave, MS
• Kimberly Musgrave, BA
• Stephanie Leann Myers, FNP-BC
• Leo Naroditsky, DDS
• Angela Lynn Newlin, LPC
• Kathryn Niemerg, MS
• Kelsey Kay Park, DNP
• Katie Jo Parker, APRN, FNP-C

• Surgery Physician in Robinson, IL
• Providers in Robinson, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.