Mark Ettore Giacomi Jr., D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036126516 Issued in IL

Practice address

23836 W 135TH St
Ste 103
Plainfield, IL 60544-5620

Phone

(815) 254-2403

Fax

(815) 267-8380

NPI assigned

Jul 18, 2008

Last updated

Mar 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Family Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304
• Edward Hospital Hospital, Naperville, IL, CCN 140231

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgiacomi1241001@adventhealth.direct-ci.com

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.

• Adventist Health Partners, Inc.

  • Multi-Specialty Clinic/Center
  • La Grange, IL
  • NPI 1932650496
  Medicare reassignment Care Compare group NPD
• Adventist Health Partners, Inc.

  dba Adventist Maternal Fetal Medicine

  • Maternal & Fetal Medicine Physician
  • Hinsdale, IL
  • NPI 1104224138
  NPD
• Adventist Health Partners,Inc

  dba Glendale Family Practice

  • Family Medicine Physician
  • Bloomingdale, IL
  • NPI 1043255888
  NPD
• Acute Care Specialists II, LTD

  • Emergency Medicine Physician
  • Glendale Heights, IL
  • NPI 1205974433
  NPD (past)
• Adventist Health Partners, Inc

  dba Plainfield Family Medicine

  • Family Medicine Physician
  • Plainfield, IL
  • NPI 1407093099
  NPD (past)
• Adventist Health Partners, Inc

  dba Glenoaks Anesthesia

  • Anesthesiology Physician
  • Glendale Heights, IL
  • NPI 1912942012
  NPD (past)
• Adventist Health Partners,Inc

  dba Family Practice Associates

  • Family Medicine Physician
  • Hinsdale, IL
  • NPI 1265475032
  NPD (past)

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

• Adventist Bolingbrook Hospital

  dba Adventhealth Bolingbrook

  • General Acute Care Hospital
  • Bolingbrook, IL
  • NPI 1164530465
  Care Compare affiliation
• Edward Hospital

  dba Endeavor Health Edward Hospital

  • General Acute Care Hospital
  • Naperville, IL
  • NPI 1427069632
  Care Compare affiliation

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1639334667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23836 W 135TH ST",
            "address_2": "STE 103",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445620",
            "telephone_number": "815-254-2403",
            "fax_number": "815-267-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23836 W 135TH ST",
            "address_2": "STE 103",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445620",
            "telephone_number": "815-254-2403",
            "fax_number": "815-267-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACOMI",
        "first_name": "MARK",
        "middle_name": "ETTORE",
        "name_suffix": "Jr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036126516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.giacomi.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "23836 W 135th St",
            "address_2": "Ste 103",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605445620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gina T Gedutis, APRN, FNP-C
• Sherry Gee
• Shannon Patricia Gengenbacher, PT, DPT
• Gentle Touch Home Assist LLC
• Julia R Gevelinger, MS, CCC-SLP
• Robert N Giannasi, LCPC
• David Alexander Gianos, LSW
• Leslie Giaudrone
• Amber Gilbertson, LCSW
• Kimberly Ann Gill, FNP

• Family Medicine Physician in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.