John Croghan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036076821 Issued in IL

Practice address

710 Oak St
Winnetka, IL 60093-2522

Phone

(847) 840-1470

NPI assigned

Jun 5, 2006

Last updated

Feb 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Rush Medical College of Rush University, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dedication Health LLCGroup PAC ID 7810290699, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Access Life Care, LTD Home health agency, Northbrook, IL, CCN 148267
• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
• VI at the Glen Nursing home, Glenview, IL, CCN 146107

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13127/brand/1/csg/1/fhir/r4
• Direct secure messaging: john.croghan.1@13127.direct.athenahealth.com

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.

• Dedication Health LLC

  • Internal Medicine Physician
  • Winnetka, IL
  • NPI 1326403593
  Medicare reassignment Care Compare group NPD Authorized official
• North Shore Physicians Group, LLC

  • Pulmonary Disease Physician
  • Glenview, IL
  • NPI 1275586406
  NPD (past) Authorized official
• North Shore Physicians Group, LLC

  • Specialist
  • Wilmette, IL
  • NPI 1588613632
  NPD (past) Authorized official
• Northshore Physicians Group, LLC

  • Physical Therapist
  • Wilmette, IL
  • NPI 1598970360
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Access Life Care, LTD.

  • Home Health Agency
  • Northbrook, IL
  • NPI 1760711956
  Care Compare affiliation
• CC Lake LLC

  dba Vi at The Glen

  • Skilled Nursing Facility
  • Glenview, IL
  • NPI 1649220906

  Nursing home

  Care Compare affiliation
• Endeavor Health Clinical Operations

  dba Endeavor Health Evanston Hospital

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1790724060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 OAK ST",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932522",
            "telephone_number": "847-986-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 OAK ST",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932522",
            "telephone_number": "847-840-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROGHAN",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036076821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consulting & Clinical Psychology
• Continuum Care
• John Q. Cook, M.D.
• Counseling Center of the North Shore, Inc.
• Colin Crawford, PT
• Myles P Cunningham, MD
• Michael A. Czarkowski, D.D.S.
• Gregory A Dana, M.A.
• Claudia Dancing, LCSW
• Dangremond & Jaharis LLC (Winnetka Family Medicine)

• Internal Medicine Physician in Winnetka, IL
• Providers in Winnetka, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.

Verify at the official NPI Registry.