NPIMap

Individual provider Active NPI

Jonathan K Pinsky, MD

  • Infectious Disease Physician
  • Bolingbrook, IL
National Provider Identifier
1740291939
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036098764 Issued in IL
Practice address
396 Remington Blvd.
Suite 330
Bolingbrook, IL 60440-4923
Phone
(888) 220-6432
Fax
(630) 548-4909
NPI assigned
Aug 11, 2006
Last updated
May 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 036098764 IL Primary

Addresses

Primary practice location

396 Remington Blvd.
Suite 330
Bolingbrook, IL 60440-4923

Mailing address

901 MC Clintock Drive
Suite 202
Burr Ridge, IL 60527-0872
Phone (888) 220-6432

Other identifiers 1

IdentifierTypeStateIssuer
036098764MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060120000237 IL Practitioner - Infectious Disease 7012931769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

901 McClintock Dr
Suite 202
Burr Ridge, IL 60527-0872
Phone (888) 220-6432

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036098764ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants LLC Infectious Disease CurrentSince Oct 1, 2011 Accepting new patients
Metro Infectious Disease Consultants, LLC Infectious Disease Current Accepting new patients
Metro Infectious Disease Consultants LLC Infectious Disease CurrentSince Oct 1, 2011 Accepting new patients
Midwest Infectious Disease Specialists LLC Infectious Disease Past Accepting new patients
Metro Infectious Disease Consultants LLC Past Accepting new patients

Locations

400 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 226-8100

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

1012 95th St
Ste 3
Naperville, IL 60564
Phone (630) 778-9444

Organizations & group practices 5

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 6

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1740291939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MC CLINTOCK DRIVE",
            "address_2": "SUITE 202",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270872",
            "telephone_number": "888-220-6432",
            "fax_number": "630-654-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 REMINGTON BLVD.",
            "address_2": "SUITE 330",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404923",
            "telephone_number": "888-220-6432",
            "fax_number": "630-548-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSKY",
        "first_name": "JONATHAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036098764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098764",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.