Individual provider Active NPI

Gregory Allen Summers, M.D.

  • Pediatrics Physician
  • Arlington Heights, IL
National Provider Identifier
1689695017
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036056655 Issued in IL
Practice address
2010 S Arlington Heights Rd
Suite 210
Arlington Heights, IL 60005-4134
Phone
(847) 758-2080
Fax
(847) 758-2084
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036056655 IL Primary

Addresses

Primary practice location

2010 S Arlington Heights Rd
Suite 210
Arlington Heights, IL 60005-4134

Mailing address

2010 S. Arlington HTS. Rd.
Suite 210
Arlington Heights, IL 60005-2490
Phone (847) 758-2080

Other identifiers 1

IdentifierTypeStateIssuer
036056655OtherILSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036056655ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summers Pediatrics, S.C. Pediatrics CurrentSince Aug 2, 2020 Accepting new patients

Locations

2010 S Arlington Heights Rd
Ste 210
Arlington Heights, IL 60005
Phone (847) 758-2080

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1689695017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 S. ARLINGTON HTS. RD.",
            "address_2": "SUITE 210",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052490",
            "telephone_number": "847-758-2080",
            "fax_number": "847-758-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 210",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054134",
            "telephone_number": "847-758-2080",
            "fax_number": "847-758-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "GREGORY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036056655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "036056655",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.