Giovanni David Giannotti, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036098872 Issued in IL

Practice address

5140 N California Ave
Suite 780
Chicago, IL 60625-3645

Phone

(773) 273-6810

Fax

(773) 273-5532

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Giovanni David Giannotti Professional name

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

Specialty

General Surgery

Education

Creighton University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prime Healthcare Illinois Medical Group LLC 278 clinicians

Giovanni D Giannotti MD SC 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180
• Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Giovanni D. Giannotti MD, S.C.

  • Surgical Oncology Physician
  • Chicago, IL
  • NPI 1457787475

  IL

  Medicare reassignment Care Compare group Authorized official
• Prime Healthcare Illinois Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
  • NPI 1023837689

  IL

  Medicare reassignment Care Compare group NPD
• Boffa Medical Group LLC

  • Surgery Physician
  • Chicago, IL
  • NPI 1689687527

  Surgery

  NPD (past)
• Endeavor Health Medical Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD (past)
• Endeavor Health Medical Group

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882
  NPD (past)
• Enterprise Surgical Assistance

  • Surgical Physician Assistant
  • Berwyn, IL
  • NPI 1992910988
  NPD (past)
• Northern Illinois Emergency Surgical Serv LTD

  • Surgical Critical Care Physician
  • Evanston, IL
  • NPI 1861589020
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Resurrection Medical Center - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811735228

  Hospital

  Care Compare affiliation
• Saint Mary of Nazareth Hospital - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1265270607

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1619989688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "STE 335",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222995",
            "telephone_number": "773-273-6810",
            "fax_number": "773-273-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 N CALIFORNIA AVE",
            "address_2": "SUITE 780",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253645",
            "telephone_number": "773-273-6810",
            "fax_number": "773-273-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNOTTI",
        "first_name": "GIOVANNI",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "IL",
            "license": "036098872",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036098872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL GROUP NUMBER",
            "identifier": "0001630046",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098872 3",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098872 2",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIOVANNI",
            "last_name": "GIANNOTTI",
            "middle_name": "DAVID",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hollie Giannini
• Joseph Giancarlo Giannini
• Joseph Thomas Giannini, ANP-BC
• Kyle Edward Giannone, RN
• Jennifer Z Giannopoulos, PA-C
• Bailey Gibb
• Wesley Gibbert
• Meaghan Gibbons
• Michael P Gibbons, DDS
• Nuala Gibbons

• All providers in Chicago, IL
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.

Verify at the official NPI Registry.