Individual provider Active NPI

James Douglas Glass, M.D.

  • Anesthesiology Physician
  • Evanston, IL
National Provider Identifier
1750380820
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036.119299 Issued in IL
Practice address
355 Ridge Ave
Evanston, IL 60202-3328
Phone
(847) 316-4000
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101058963 VA
Anesthesiology Physician 207L00000X C54882 CA
Anesthesiology Physician 207L00000X 036.119299 IL Primary
Anesthesiology Physician 207L00000X D0067950 MD

Addresses

Primary practice location

355 Ridge Ave
Evanston, IL 60202-3328

Mailing address

2950 N Sheridan Rd Apt 1202
Chicago, IL 60657-0952
Phone (312) 754-8596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CA, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080606000627 DC Practitioner - Anesthesiology 4587734272 Reassigns benefits to 1 organization
I20130115000210 CA Practitioner - Anesthesiology 4587734272 Reassigns benefits to 1 organization
I20190719003016 IL Practitioner - Anesthesiology 4587734272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Virginia School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
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

LicenseStateTypeSpecialty
036.119299ILMDAnesthesiology Physician
D0067950MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Anesthesiology CurrentSince Dec 4, 2023 Accepting new patients
Northstar Anesthesia of Illinois, LLC Anesthesiology CurrentSince Jul 15, 2019 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Anesthesiology CurrentSince Nov 17, 2020 Accepting new patients
Endeavor Health Medical Group Anesthesiology CurrentSince Dec 4, 2023 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
John Muir Trauma Physicians Billing Service Anesthesiology CurrentSince Apr 6, 2013 Accepting new patients
Ambulatory Anesthesia Services Inc Anesthesiology CurrentSince Jul 15, 2021 Accepting new patients
Anesthesia Associates LTD. Anesthesiology Past Accepting new patients
North American Partners in Anesthesia (Virginia), LLC Anesthesiology Past Accepting new patients

Locations

1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

9532 Eagle Way
Chicago, IL 60678

355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

10730 Main St
Fairfax, VA 22030
Phone (703) 491-9500

10449 White Granite Dr
Unit 129
Oakton, VA 22124

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1750380820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 N SHERIDAN RD APT 1202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606570952",
            "telephone_number": "312-754-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023328",
            "telephone_number": "847-316-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "JAMES",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101058963",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C54882",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036.119299",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0067950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.