Individual provider Active NPI

Eric Kirshenbaum, M.D.

  • Urology Physician
  • Libertyville, IL
National Provider Identifier
1467794248
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036145575 Issued in IL
Practice address
1800 Hollister Dr Ste 107
Libertyville, IL 60048-5265
Phone
(847) 295-0010
Fax
(847) 549-7815
NPI assigned
Mar 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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 036145575 IL Primary

Addresses

Primary practice location

1800 Hollister Dr Ste 107
Libertyville, IL 60048-5265

Mailing address

1800 Hollister Dr Ste 107
Libertyville, IL 60048-5265
Phone (847) 295-0010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erickirshenbaum@uropart.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190801001555 IL Practitioner - Urology 9133421399 Reassigns benefits to 2 organizations
I20200415000858 WI Practitioner - Urology 9133421399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uropartners LLCGroup PAC ID 9436182946, shared by 25 NPIs, 133 clinicians

Practice addresses (Care Compare)

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone (847) 234-5600

1475 E Belvidere Rd
Suite 312
Grayslake, IL 60030-2016
Phone (847) 986-3030

6308 8TH Ave
Kenosha, WI 53143-5031
Phone (262) 656-2011

9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uropartners LLC Urology Current Accepting new patients
Uropartners, LLC Urology CurrentSince Apr 15, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2022 Accepting new patients
Uropartners, LLC Urology CurrentSince Apr 15, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2022 Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

2600 Patriot Blvd
Ste J
Glenview, IL 60026
Phone (224) 260-3100

1475 E Belvidere Rd
Ste 312
Grayslake, IL 60030
Phone (847) 295-0010

1170 E Belvidere Rd
Ste 211
Grayslake, IL 60030
Phone (847) 986-3030

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6150

1800 Hollister Dr
Ste 107
Libertyville, IL 60048
Phone (847) 295-0010

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

2225 Enterprise Dr
Ste 2511
Westchester, IL 60154
Phone (708) 486-0076

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

9555 76th St
Ste 4106
Pleasant Prairie, WI 53158
Phone (262) 577-0240

Interoperability endpoints

  • Direct secure messaging: ekirshenbaum384807@direct.froedtert.com

Organizations & group practices 5

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 5

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1467794248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOLLISTER DR STE 107",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485265",
            "telephone_number": "847-295-0010",
            "fax_number": "847-549-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOLLISTER DR STE 107",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485265",
            "telephone_number": "847-295-0010",
            "fax_number": "847-549-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSHENBAUM",
        "first_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036145575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erickirshenbaum@uropart.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1800 Hollister Dr Ste 107",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600485265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.