NPIMap

Individual provider Active NPI

Jeffrey Scott Garland, M.D.

  • Internal Medicine Physician
  • Highland Park, IL
National Provider Identifier
1477506483
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036094471 Issued in IL
Practice address
767 Park Ave W
Suite 350
Highland Park, IL 60035-2400
Phone
(847) 926-4445
Fax
(847) 681-0994
NPI assigned
May 19, 2006
Last updated
Feb 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036094471 IL Primary

Addresses

Primary practice location

767 Park Ave W
Suite 350
Highland Park, IL 60035-2400

Mailing address

767 Park Ave W
Suite 350
Highland Park, IL 60035-2400
Phone (847) 926-4445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050906000113 IL Practitioner - Internal Medicine 6002848637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

767 Park W Ave
Suite 320
Highland Park, IL 60035-2472
Phone (847) 433-5505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.56 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036094471ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Avenue Private Practice LLC CurrentSince Nov 4, 2015 Accepting new patients
Mark a. Greenberger, M.D., S.C. Internal Medicine PastSince Oct 12, 2005 Accepting new patients

Locations

767 Park Ave W
Ste 320
Highland Park, IL 60035
Phone (847) 433-1060

767 Park Ave W
Ste 350
Highland Park, IL 60035
Phone (847) 433-5505

Interoperability endpoints

  • Direct secure messaging: jeffreygarland@papp.allscriptsdirect.net

Organizations & group practices 3

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 9

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1477506483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 PARK AVE W",
            "address_2": "SUITE 350",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352400",
            "telephone_number": "847-926-4445",
            "fax_number": "847-681-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 PARK AVE W",
            "address_2": "SUITE 350",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352400",
            "telephone_number": "847-926-4445",
            "fax_number": "847-681-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLAND",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036094471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.