Active NPI
Grace Bernaldo, MD
- Hospitalist Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036158326
- Practice address
- 744 1St St
Macon, GA 31201 - Phone
- (478) 633-7600
- NPI assigned
- Apr 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036158326 | IL | Primary |
| Pediatrics Physician | 208000000X | 036158326 | IL |
Addresses
Primary practice location
744 1St St
Macon, GA 31201
Mailing address
2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone (847) 570-2040
Other practice location 1
801 S. Washington St.
Pediatric Hospitalists
Naperville, IL 60540-7430
Phone (630) 527-5197
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220506000954 | IL | Practitioner - Hospitalist | 3274885314 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010608 | GU | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonaventure Medical Foundation, LLC | Current | Accepting new patients | |
| Endeavor Health Medical Group | Pediatrics | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640
1555 N Barrington Rd
Bldg 1
Hoffman Estates, IL 60169
Phone (224) 299-4222
801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450
190 W Irving Park Rd
Wood Dale, IL 60191
Phone (630) 766-0412
Interoperability endpoints
- gbernaldo292085@direct.edward.org
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.
-
- Family Medicine Physician
- Elk Grove Village, IL
- NPI 1588775647
IL
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
IL, Pediatrics
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1770080756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE STE 1223",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700",
"telephone_number": "847-570-2040",
"fax_number": "847-733-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 1ST ST",
"city": "MACON",
"state": "GA",
"postal_code": "31201",
"telephone_number": "478-633-7600"
}
],
"practiceLocations": [
{
"address_1": "801 S. Washington St.",
"address_2": "Pediatric Hospitalists",
"address_purpose": "LOCATION",
"city": "Naperville",
"state": "IL",
"postal_code": "605407430",
"country_code": "US",
"telephone_number": "630-527-5197",
"fax_number": "630-527-5526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERNALDO",
"first_name": "GRACE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-06",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036158326",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036158326",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.