Individual provider Active NPI

Megan Elizabeth Guetzko Valassis, M.D.

  • Obstetrics & Gynecology Physician
  • Vernon Hills, IL
National Provider Identifier
1427317668
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036141435 Issued in IL
Practice address
225 N Milwaukee Ave
Vernon Hills, IL 60061
Phone
(847) 941-7600
Fax
(847) 941-7697
NPI assigned
May 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036141435 IL Primary

Addresses

Primary practice location

225 N Milwaukee Ave
Vernon Hills, IL 60061

Mailing address

225 N Milwaukee Ave
Vernon Hills, IL 60061-4304
Phone (847) 941-7600

Other practice location 1

225 N Milwaukee Ave
Vernon Hills, IL 60061-4304
Phone (847) 941-7600

Other names 1

  • Megan Elizabeth Guetzko Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL mvalassis260886@direct.northshore.org

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
I20160823002248 IL Practitioner - Obstetrics/Gynecology 2264727775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

225 N Milwaukee Ave
Vernon Hills, IL 60061-4304
Phone (847) 941-7600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036141435ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Sep 12, 2016 Accepting new patients
Endeavor Health Medical Group Obstetrics & Gynecology CurrentSince Sep 12, 2016 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

757 Park Ave W
Ste 2800
Highland Park, IL 60035
Phone (847) 432-1558

1329 N Wolf Rd
Mt Prospect, IL 60056
Phone (847) 803-3040

225 N Milwaukee Ave
Vernon Hills, IL 60061
Phone (847) 941-7600

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 1

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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1427317668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N MILWAUKEE AVE",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600614304",
            "telephone_number": "847-941-7600",
            "fax_number": "847-941-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N MILWAUKEE AVE",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "60061",
            "telephone_number": "847-941-7600",
            "fax_number": "847-941-7697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Vernon Hills",
            "state": "IL",
            "postal_code": "600614304",
            "country_code": "US",
            "telephone_number": "847-941-7600",
            "fax_number": "847-941-7697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALASSIS",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH GUETZKO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036141435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "mvalassis260886@direct.northshore.org",
            "affiliation": "N",
            "address_1": "225 N Milwaukee Ave",
            "city": "Vernon Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600614304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "GUETZKO",
            "middle_name": "ELIZABETH",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.