Active NPI
Gregory Thomas Bismack, M.D.
- Internal Medicine Physician
- Effingham, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036.155470
- Practice address
- 503 N Maple St
Effingham, IL 62401-2006 - Phone
- (217) 342-2121
- NPI assigned
- Apr 8, 2010
- Last updated
- Jun 22, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036.155470 | IL | MD | Internal Medicine Physician |
| 4301097035 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Illinois SNF LLP | Internal Medicine | Current | Accepting new patients |
| Cep America - Illinois SNF, LLP | Internal Medicine | Current | Accepting new patients |
| Ste Genevieve County Memorial Hospital | Current | Accepting new patients | |
| Sound Inpatient Physicians-Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Ste. Genevieve County Memorial Hospital | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Internal Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians - Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Vituity - Michigan Hospitalists PC | Internal Medicine | Current | 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 | Current | Accepting new patients |
| Cep America-Illinois Hospitalists | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians, PC | Internal Medicine | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Internal Medicine | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Internal Medicine | Current | Accepting new patients |
| Ste Genevieve County Memorial Hospital | Hospitalist | Current | Accepting new patients |
| Cep America-Illinois Hospitalists, LLP | Internal Medicine | Current | Accepting new patients |
| Henry Ford Health System | Internal Medicine | Current | Accepting new patients |
| Henry Ford Health System | Current | 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
- 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.
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1073069415
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1841613403
-
- Critical Access Hospital
- Ste Genevieve, MO
- NPI 1073587655
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Hospitalist Physician
- Lansing, MI
- NPI 1487278156
Internal Medicine
-
- Internal Medicine Physician
- Clayton, MO
- NPI 1699516690
-
- Internal Medicine Physician
- Edwardsville, IL
- NPI 1043170434
-
- Hospitalist Physician
- Bloomington, IL
- NPI 1669276523
-
- Internal Medicine Physician
- Shiloh, IL
- NPI 1619335106
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Osf Saint Anthony's Health Center
- General Acute Care Hospital
- Alton, IL
- NPI 1710396932
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
-
dba HSHS St. Joseph's Hospital -Highland
- Critical Access Hospital
- Highland, IL
- NPI 1447352323
-
dba SSM Health St. Clare Hospital - Fenton
- General Acute Care Hospital
- Fenton, MO
- NPI 1851496152
-
- Medicare Defined Swing Bed Hospital Unit
- Ste Genevieve, MO
- NPI 1013054212
Nursing home
-
- Critical Access Hospital
- Ste Genevieve, MO
- NPI 1073587655
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.