Individual provider Active NPI

Jeffrey Goldstein, MD

  • Orthopaedic Surgery Physician
  • Morton Grove, IL
National Provider Identifier
1689848897
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2013-00980 Issued in NC
Practice address
9000 Waukegan Rd
Suite 200
Morton Grove, IL 60053-2127
Phone
(847) 375-3000
NPI assigned
Apr 17, 2008
Last updated
May 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2013-00980 NC Primary
Orthopaedic Surgery Physician 207X00000X 036-132925 IL

Addresses

Primary practice location

9000 Waukegan Rd
Suite 200
Morton Grove, IL 60053-2127

Mailing address

900 Rand Rd
Suite 200
Des Plaines, IL 60016-2359
Phone (847) 324-3976

Other identifiers 2

IdentifierTypeStateIssuer
NC1822MedicaidSC
1689848897MedicaidNC

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
I20140603000539 IL Practitioner - Orthopedic Surgery 7012156813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rush Medical College of Rush University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-5099

2101 Waukegan Rd
Bannockburn, IL 60015-1836

2401 Ravine Way
Glenview, IL 60025-7645

2923 N California
Suite 100
Chicago, IL 60618-7702
Phone (773) 249-3100

2923 N California Ave
Suite 301
Chicago, IL 60618-7702
Phone (773) 327-5639

521 Green Bay Rd
Wilmette, IL 60091-2726
Phone (847) 996-5680

718 Florsheim Dr
Libertyville, IL 60048-3757
Phone (847) 362-4483

720 Florsheim Dr
Libertyville, IL 60048-3757
Phone (847) 247-4000

724 Florsheim Dr
Libertyville, IL 60048-3757
Phone (847) 247-4000

9000 Waukegan Rd
Morton Grove, IL 60053-2127
Phone (847) 213-5444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement97
Knee replacement121
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-132925ILMDOrthopaedic Surgery Physician
2013-00980NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute LLC Orthopaedic Surgery CurrentSince Jul 1, 2014 Accepting new patients
Illinois Bone and Joint Institute, LLC Orthopaedic Surgery CurrentSince Jul 1, 2014 Accepting new patients

Locations

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

1450 Busch Pkwy
Ste 115
Buffalo Grove, IL 60089
Phone (224) 676-7920

5057 Paysphere Cir
Chicago, IL 60674

900 Rand Rd
Ste 200
Des Plaines, IL 60016
Phone (847) 324-3978

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

9000 Waukegan Rd
Ste 200
Morton Grove, IL 60053

Interoperability endpoints

  • Direct secure messaging: jgoldstein251686@direct.myadvocateaurora.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1689848897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RAND RD",
            "address_2": "SUITE 200",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162359",
            "telephone_number": "847-324-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 WAUKEGAN RD",
            "address_2": "SUITE 200",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532127",
            "telephone_number": "847-375-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2013-00980",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036-132925",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1822",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689848897",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

Verify at the official NPI Registry.