Individual provider Active NPI

Patrick James Gries, MD

  • Pediatrics Physician
  • Glenview, IL
National Provider Identifier
1598797763
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036070968 Issued in IL
Practice address
2551 Compass Road
Suite 100 Glenbrook Pediatrics
Glenview, IL 60026
Phone
(847) 729-6445
Fax
(847) 729-9707
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 26982020 WI
Pediatrics Physician 208000000X 036070968 IL Primary

Addresses

Primary practice location

2551 Compass Road
Suite 100 Glenbrook Pediatrics
Glenview, IL 60026

Mailing address

2551 Compass Road
Suite #100
Glenview, IL 60026
Phone (847) 729-6445

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pgries205239@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
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036070968ILMDPediatrics Physician
26982020WIMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: pgries205239@direct.myadvocateaurora.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1598797763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 COMPASS ROAD",
            "address_2": "SUITE #100",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60026",
            "telephone_number": "847-729-6445",
            "fax_number": "847-729-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 COMPASS ROAD",
            "address_2": "SUITE 100 GLENBROOK PEDIATRICS",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60026",
            "telephone_number": "847-729-6445",
            "fax_number": "847-729-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIES",
        "first_name": "PATRICK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "26982020",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036070968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgries205239@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2551 Compass Road",
            "address_2": "Suite 100 Glenbrook Pediatrics",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60026",
            "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": "2551 Compass Road",
            "address_2": "Suite 100 Glenbrook Pediatrics",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.