Individual provider Active NPI

Gregory J Mishkel, M.D.

  • Cardiovascular Disease Physician
  • Skokie, IL
National Provider Identifier
1629150768
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036083781 Issued in IL
Practice address
9650 Gross Point Rd Ste 4900
Skokie, IL 60076
Phone
(847) 864-3278
Fax
(847) 676-1727
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036083781 IL
Interventional Cardiology Physician 207RI0011X 036083781 IL
Cardiovascular Disease Physician 207RC0000X 036083781 IL Primary

Addresses

Primary practice location

9650 Gross Point Rd Ste 4900
Skokie, IL 60076

Mailing address

9650 Gross Point Rd Ste 4900
Skokie, IL 60076-1214
Phone (847) 864-3278

Other practice location 1

619 E Mason St
Suite 4P57
Springfield, IL 62701-1034
Phone (217) 788-0706

Other identifiers 2

IdentifierTypeStateIssuer
060018007OtherILRAILROAD
036083781MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gmishkel270092@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
I20040515000446 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 2062402597 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1982
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)

1000 Central St
Evanston, IL 60201-1780

2050 Pfingsten Rd
Suite 330
Glenview, IL 60026-1300
Phone (847) 998-4100

2100 Pfingsten Rd
Glenview, IL 60026-1301

2650 Ridge Ave
Evanston, IL 60201-1700

7900 Rollins Rd
Gurnee, IL 60031-1512

9600 Gross Point Rd
Skokie, IL 60076-1214

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Jan 7, 2019 Accepting new patients
St Anthonys Memorial Hospital of the Hospital Sisters of the Third CurrentSince Jan 1, 1996 Accepting new patients
Prairie Cardiovascular Consultants LTD Cardiovascular Disease CurrentSince Nov 1, 2000 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Jan 7, 2019 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jun 1, 2005 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
HSHS Medical Group Inc PastSince Apr 1, 1999 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

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

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

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

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

1000 Central St
Ste 730
Evanston, IL 60201
Phone (847) 663-8410

2150 Pfingsten Rd
Ste 1200
Glenview, IL 60026
Phone (847) 657-1819

2050 Pfingsten Rd
Ste 330
Glenview, IL 60026
Phone (847) 570-2868

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

9650 Gross Point Rd
Ste 4900
Skokie, IL 60076
Phone (847) 663-8050

9650 Gross Point Rd
Skokie, IL 60076
Phone (224) 251-1160

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

619 E Mason St
Ste 4P57
Springfield, IL 62701

650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231

Organizations & group practices 8

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1629150768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 GROSS POINT RD STE 4900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761214",
            "telephone_number": "847-864-3278",
            "fax_number": "847-676-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 GROSS POINT RD STE 4900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60076",
            "telephone_number": "847-864-3278",
            "fax_number": "847-676-1727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 E Mason St",
            "address_2": "Suite 4P57",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627011034",
            "country_code": "US",
            "telephone_number": "217-788-0706",
            "fax_number": "217-525-2535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISHKEL",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036083781",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036083781",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036083781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "060018007",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083781",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmishkel270092@direct.northshore.org",
            "affiliation": "N",
            "address_1": "9650 Gross Point Rd Ste 4900",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.