Individual provider Active NPI

Gregory Thomas Bismack, M.D.

  • Internal Medicine Physician
  • Effingham, IL
National Provider Identifier
1619293149
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.155470 Issued in IL
Practice address
503 N Maple St
Effingham, IL 62401-2006
Phone
(217) 342-2121
NPI assigned
Apr 8, 2010
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2022010983 MO
Hospitalist Physician 208M00000X 036155470 IL
Internal Medicine Physician 207R00000X 4301097035 MI
Internal Medicine Physician 207R00000X 036.155470 IL Primary

Addresses

Primary practice location

503 N Maple St
Effingham, IL 62401-2006

Mailing address

801 Swarthmore LN
University City, MO 63130-3620
Phone (248) 808-2485

Other practice location 1

401 Corporate Park Dr
Clayton, MO 63105-4201
Phone (636) 228-4149

Other practice location 2

2351 Frank Scott Pkwy E
O Fallon, IL 62269-7457
Phone (636) 288-4149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL, MO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140326000988 MI Practitioner - Internal MedicinePractitioner - Hospitalist 2466604921 Reassigns benefits to 4 organizations
I20210512002587 IL Practitioner - Hospitalist 2466604921 Reassigns benefits to 2 organizations
I20220422001066 MO Practitioner - HospitalistPractitioner - Internal Medicine 2466604921 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Wayne State University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Illinois SNF LLPGroup PAC ID 8022306737, 8 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

1021 W E St
Belleville, IL 62220-1055
Phone (618) 233-2095

12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000

503 N Maple St
Effingham, IL 62401-2006
Phone (217) 342-2121

800 Genevieve Dr
Ste Genevieve, MO 63670-1434
Phone (573) 883-7772

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.155470ILMDInternal Medicine Physician
4301097035MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Illinois SNF LLP Internal Medicine CurrentSince Sep 7, 2021 Accepting new patients
Cep America - Illinois SNF, LLP Internal Medicine CurrentSince Sep 7, 2021 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Ste. Genevieve County Memorial Hospital CurrentSince Oct 1, 2023 Accepting new patients
Henry Ford Health System Current Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Apr 1, 2022 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine Current Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Vituity - Michigan Hospitalists PC Internal Medicine CurrentSince Apr 15, 2021 Accepting new patients
Galen Inpatient Physicians PC. Internal Medicine Current Accepting new patients
Analytical Pathology Services LTD Current Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Cep America-Illinois Hospitalists Hospitalist CurrentSince Jun 1, 2021 Accepting new patients
Galen Inpatient Physicians, PC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Ste Genevieve County Memorial Hospital Hospitalist CurrentSince Oct 1, 2023 Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine Current Accepting new patients
Henry Ford Health System Internal Medicine CurrentSince Jun 15, 2015 Accepting new patients
Henry Ford Health System CurrentSince Jun 15, 2015 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

2351 Frank Scott Pkwy E
Shiloh, IL 62269
Phone (217) 620-3319

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

Interoperability endpoints

  • Direct secure messaging: gbismack413491@direct-ehr-ssmhc.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 6

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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1619293149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SWARTHMORE LN",
            "city": "UNIVERSITY CITY",
            "state": "MO",
            "postal_code": "631303620",
            "telephone_number": "248-808-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N MAPLE ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012006",
            "telephone_number": "217-342-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Corporate Park Dr",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "MO",
            "postal_code": "631054201",
            "country_code": "US",
            "telephone_number": "636-228-4149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 Frank Scott Pkwy E",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622697457",
            "country_code": "US",
            "telephone_number": "636-288-4149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISMACK",
        "first_name": "GREGORY",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2022010983",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036155470",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301097035",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.155470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.