Individual provider Active NPI

Harry Keith Monroe, MD

  • Surgery Physician
  • Buffalo Grove, IL
National Provider Identifier
1447219456
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036-087825 Issued in IL
Practice address
975 Weiland Rd Suite 100
Buffalo Grove, IL 60089-7053
Phone
(847) 947-8444
Fax
(847) 947-8435
NPI assigned
Mar 20, 2006
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036-087825 IL Primary

Addresses

Primary practice location

975 Weiland Rd Suite 100
Buffalo Grove, IL 60089-7053

Mailing address

975 Weiland Rd Suite 100
Buffalo Grove, IL 60089-7053
Phone (847) 947-8444

Other practice location 1

1300 Busch Pkwy
Buffalo Grove, IL 60089-4505
Phone (847) 850-5882

Other identifiers 3

IdentifierTypeStateIssuer
21620070OtherILBLUE CROSS BLUE SHIELD
036087825MedicaidIL
123163400OtherILDEPT OF LABOR

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
I20070510000258 IL Practitioner - General Surgery 8325144132 Reassigns benefits to 1 organization
Practice locations: Buffalo Grove, IL

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Washington University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

975 Weiland Rd
Suite 100
Buffalo Grove, IL 60089-7053
Phone (847) 947-8444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue233
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-087825ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr 247 SC CurrentSince Sep 1, 2019 Accepting new patients

Locations

1300 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 378-4970

975 Weiland Rd
Unit 100
Buffalo Grove, IL 60089
Phone (224) 716-3212

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 3

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1447219456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 WEILAND RD SUITE 100",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600897053",
            "telephone_number": "847-947-8444",
            "fax_number": "847-947-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 WEILAND RD SUITE 100",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600897053",
            "telephone_number": "847-947-8444",
            "fax_number": "847-947-8435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Busch Pkwy",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600894505",
            "country_code": "US",
            "telephone_number": "847-850-5882",
            "fax_number": "847-850-5892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONROE",
        "first_name": "HARRY",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-087825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21620070",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087825",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "123163400",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.