Active NPI
Gary R Pineless, MD
- Cardiovascular Disease Physician
- Bannockburn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 36068890
- Practice address
- 2151 Waukegan Rd
Suite 100
Bannockburn, IL 60015-1885 - Phone
- (847) 444-5300
- Fax
- (847) 267-0694
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 36068890 | IL | Primary |
Addresses
Primary practice location
2151 Waukegan Rd
Suite 100
Bannockburn, IL 60015-1885
Mailing address
2151 Waukegan Rd
Suite 100
Bannockburn, IL 60015-1885
Phone (847) 444-5300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04915267 | Other | IL | BLUE CROSS BLUE SHIELD |
| 36068890 | Medicaid | IL | |
| 060056477 | Other | IL | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gpineless7184@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Chicago, Pritzker School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 Oak Ave
Evanston, IL 60201-4205
Phone (847) 869-1300
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
777 Park Ave W
Highland Park, IL 60035-2433
7900 Rollins Rd
Gurnee, IL 60031-1512
9600 Gross Point Rd
Skokie, IL 60076-1214
Hospital & facility affiliations
- Northshore University Healthsystem - Evanston Hospital
- Swedish Hospital
- Northwest Community Hospital 1
- Northwestern Lake Forest Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36068890 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Cardiologists SC | Cardiovascular Disease | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients |
Locations
2151 Waukegan Rd
Ste 100
Bannockburn, IL 60015
Phone (847) 444-5300
9532 Eagle Way
Chicago, IL 60678
49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
6475 Washington St
Ste 1
Gurnee, IL 60031
Phone (847) 432-1580
1117 S Milwaukee Ave
Ste A11
Libertyville, IL 60048
Organizations & group practices 3
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.
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Cardiovascular Disease Physician
- Bannockburn, IL
- NPI 1174694277
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Evanston Hospital
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
dba Endeavor Health Northwest Community Hospital
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1578932869
-
dba Endeavor Health Northwest Community Hospital
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
-
dba Northwestern Medicine Lake Forest Hospital
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
-
dba Endeavor Health Swedish Hospital
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1700806858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2151 WAUKEGAN RD",
"address_2": "SUITE 100",
"city": "BANNOCKBURN",
"state": "IL",
"postal_code": "600151885",
"telephone_number": "847-444-5300",
"fax_number": "847-267-0694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 WAUKEGAN RD",
"address_2": "SUITE 100",
"city": "BANNOCKBURN",
"state": "IL",
"postal_code": "600151885",
"telephone_number": "847-444-5300",
"fax_number": "847-267-0694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINELESS",
"first_name": "GARY",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "36068890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "04915267",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36068890",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060056477",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gpineless7184@direct.northshore.org",
"affiliation": "N",
"address_1": "2151 Waukegan Rd",
"address_2": "SUITE 100",
"city": "Bannockburn",
"state": "IL",
"country_code": "US",
"postal_code": "600151885",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bannockburn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.