Individual provider Active NPI

Andrew Gorchynsky, M.D.

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1730100173
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036-057660 Issued in IL
Practice address
3538 W Fullerton Ave
Chicago, IL 60647-2443
Phone
(773) 327-3141
NPI assigned
Jul 21, 2006
Last updated
Feb 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036-057660 IL Primary

Addresses

Primary practice location

3538 W Fullerton Ave
Chicago, IL 60647-2443

Mailing address

1300 Lee Rd
Northbrook, IL 60062-3809
Phone (773) 327-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, GA, TN, TX, VA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20081111000054 IL Practitioner - General SurgeryPractitioner - General Practice 3779642475 Reassigns benefits to 1 organization
Practice locations: Chicago, IL
I20220714000246 GA Practitioner - General Surgery 3779642475
I20220719002876 TN Practitioner - General Surgery 3779642475
I20220727002234 TX Practitioner - General Surgery 3779642475
I20220909000835 VA Practitioner - General Surgery 3779642475

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danilo V del Campo MDSCGroup PAC ID 4385639780, 4 clinicians

Practice addresses (Care Compare)

5440 W Belmont Ave
Chicago, IL 60641-4126
Phone (773) 286-8111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-057660ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Danilo V del Campo MDSC CurrentSince Oct 31, 2008 Accepting new patients
Thomas Drost, LTD Past Accepting new patients
Arnold B. Grauer, M.D., LLC Past Accepting new patients

Locations

5440 W Belmont Ave
Chicago, IL 60641
Phone (312) 724-7441

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1298419200000",
    "number": "1730100173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 LEE RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623809",
            "telephone_number": "773-327-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3538 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472443",
            "telephone_number": "773-327-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORCHYNSKY",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-057660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.