Active NPI
George B. Gancayco, M.D.
- Internal Medicine Physician
- Crystal Lake, IL
National Provider Identifier
1477566834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036096042
- Practice address
- 781 McHenry Ave
Crystal Lake, IL 60014-7444 - Phone
- (815) 459-2200
- Fax
- (815) 444-9566
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036096042 | IL | |
| Internal Medicine Physician | 207R00000X | 036096042 | IL | Primary |
Addresses
Primary practice location
781 McHenry Ave
Crystal Lake, IL 60014-7444
Mailing address
781 McHenry Ave
Crystal Lake, IL 60014-7444
Phone (815) 459-2200
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ggancayco234545@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Chicago College of Medicine and Surgery, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
781 S McHenry Ave
Crystal Lake, IL 60014-7444
Phone (815) 459-2200
Hospital & facility affiliations
- Advocate Home Health Care Serv
- Home Care Experts
- Northwestern Medicine McHenry
- Advocate Good Shepherd Hospital
- Northwestern Medicine Central Dupage Hospital
- Advocate Sherman Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036096042 | IL | MD | Pediatrics Physician |
Interoperability endpoints
- ggancayco234545@direct.myadvocateaurora.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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Crystal Lake, IL
- NPI 1902025547
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Barrington, IL
- NPI 1447368071
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- Home Health Agency
- Oak Brook, IL
- NPI 1598732075
-
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
-
- Home Health Agency
- Burr Ridge, IL
- NPI 1013928357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1477566834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "781 MCHENRY AVE",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600147444",
"telephone_number": "815-459-2200",
"fax_number": "815-444-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "781 MCHENRY AVE",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600147444",
"telephone_number": "815-459-2200",
"fax_number": "815-444-9566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANCAYCO",
"first_name": "GEORGE",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036096042",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036096042",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ggancayco234545@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "781 McHenry Ave",
"city": "Crystal Lake",
"state": "IL",
"country_code": "US",
"postal_code": "600147444",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "781 McHenry Ave",
"city": "Crystal Lake",
"state": "IL",
"country_code": "US",
"postal_code": "600147444",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.