Individual provider Active NPI

Joel E Retsky, MD

  • Gastroenterology Physician
  • Highland Park, IL
National Provider Identifier
1568420057
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
03-6084395 Issued in IL
Practice address
1777 Green Bay Rd
Suite 201
Highland Park, IL 60035-3297
Phone
(847) 433-3460
Fax
(847) 433-4062
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 03-6084395 IL Primary

Addresses

Primary practice location

1777 Green Bay Rd
Suite 201
Highland Park, IL 60035-3297

Mailing address

1777 Green Bay Rd
Suite 201
Highland Park, IL 60035-3297
Phone (847) 433-3460

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jretsky12664@direct.northshore.org

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
I20101108001040 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 4688668122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Northwestern University Feinberg Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1777 Green Bay Rd
Suite 201
Highland Park, IL 60035-3109
Phone (847) 433-3460

2650 Ridge Ave
Evanston, IL 60201-1700

777 Park Ave W
Highland Park, IL 60035-2433

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy112
Upper gastrointestinal (GI) endoscopy for acid reflux138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03-6084395ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Current Accepting new patients
Endeavor Health Medical Group CurrentSince Apr 1, 2012 Accepting new patients
Ravinia Associates in Internal Medicine, LTD Gastroenterology CurrentSince Jul 1, 2001 Accepting new patients
Barry R. Goldberg, M.D. LLC Past Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

1777 Green Bay Rd
Highland Park, IL 60035
Phone (847) 433-3460

1777 Green Bay Rd
Fl 2
Highland Park, IL 60035
Phone (847) 433-1709

1777 Green Bay Rd
#201
Highland Park, IL 60035
Phone (847) 433-3460

3705 Deerfield Rd
Riverwoods, IL 60015
Phone (847) 459-1200

Interoperability endpoints

  • Direct secure messaging: jretsky12664@direct.northshore.org

Organizations & group practices 4

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 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1568420057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 GREEN BAY RD",
            "address_2": "SUITE 201",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353297",
            "telephone_number": "847-433-3460",
            "fax_number": "847-433-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 GREEN BAY RD",
            "address_2": "SUITE 201",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353297",
            "telephone_number": "847-433-3460",
            "fax_number": "847-433-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETSKY",
        "first_name": "JOEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "03-6084395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jretsky12664@direct.northshore.org",
            "affiliation": "N",
            "address_1": "1777 Green Bay Rd",
            "address_2": "Suite 201",
            "city": "Highland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600353297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.