Individual provider Active NPI

James Benjamin Grossweiner, M.D.

  • Dermatology Physician
  • Naperville, IL
National Provider Identifier
1437114907
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036-074040 Issued in IL
Practice address
1220 Hobson Rd Ste 116
Naperville, IL 60540-8137
Phone
(630) 355-6660
Fax
(630) 527-2856
NPI assigned
Apr 19, 2006
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036-074040 IL Primary

Addresses

Primary practice location

1220 Hobson Rd Ste 116
Naperville, IL 60540-8137

Mailing address

1220 Hobson Rd Ste 116
Naperville, IL 60540-8137
Phone (630) 355-6660

Other identifiers 4

IdentifierTypeStateIssuer
0300111OtherILUHC
036074040MedicaidIL
070011565OtherILMEDICARE R.R.
2201677OtherILBCBS

Other names 1

  • Dr. James Benjamin Grossweiner Professional name

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
I20260511003660 IL Order and Referring Only - DermatologyPractitioner - Dermatology 3678761673

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Spalding Dr
Suite 405
Naperville, IL 60540-6558

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.79 of 100Reported as group
Quality
83.83
Promoting interoperability
99
Improvement activities
40
Cost
82.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision46
Removal of skin lesions512
Removal or shaving of skin growth22
Skin biopsy630

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-074040ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grossweiner & Blaszak, P.C. Dermatology CurrentSince Jan 1, 1990 Accepting new patients

Locations

2172 Blackberry Dr
Ste 206
Geneva, IL 60134
Phone (630) 584-8900

120 Spalding Dr
Ste 405
Naperville, IL 60540
Phone (630) 355-6660

1220 Hobson Rd
Ste 116
Naperville, IL 60540
Phone (630) 416-3300

Interoperability endpoints

  • Direct secure messaging: jgrossweiner21764@direct.edward.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1437114907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 HOBSON RD STE 116",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605408137",
            "telephone_number": "630-355-6660",
            "fax_number": "630-527-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 HOBSON RD STE 116",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605408137",
            "telephone_number": "630-355-6660",
            "fax_number": "630-527-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSWEINER",
        "first_name": "JAMES",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-074040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0300111",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074040",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE R.R.",
            "identifier": "070011565",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2201677",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "GROSSWEINER",
            "middle_name": "BENJAMIN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.