Active NPI
Grzegorz Blecharz, M.D.
- Family Medicine Physician
- Mount Prospect, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036128361
- Practice address
- 1754 W Golf Rd
Mount Prospect, IL 60056-4071 - Phone
- (224) 265-9010
- NPI assigned
- Jul 8, 2008
- Last updated
- Apr 6, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036128361 | IL | Primary |
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | 87639319 | IL |
Addresses
Primary practice location
1754 W Golf Rd
Mount Prospect, IL 60056-4071
Mailing address
1754 W Golf Rd
Mount Prospect, IL 60056-4071
Phone (224) 265-9010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125053992 | Other | IL | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | grzegorz.blecharz.1@380.direct.athenahealth.com |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1850 Gateway Dr
Sycamore, IL 60178-3192
331 W Surf St
Chicago, IL 60657-7227
Phone (630) 986-2800
515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870
525 E Congress Pkwy
Suite 100
Crystal Lake, IL 60014-6271
Phone (626) 327-6795
Hospital & facility affiliations
- Advocate Good Shepherd Hospital
- Northwestern Medicine Kishwaukee Hospital
- Northwestern Medicine Central Dupage Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87639319 | IL | MD | Obesity Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Family Medicine | Current | Accepting new patients |
| Seen Medical Group of Il, PC | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Crystal Lake Immediate Care Physicians LTD. | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Alexian Brothers Corporate Health Services | Past | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Past | Accepting new patients | |
| Parsley Medical Group FL PA | Past | Accepting new patients | |
| Known Chicago SC | Family Medicine | Past | Accepting new patients |
| Seen Medical Group, P.a. | Obesity Medicine | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
331 W Surf St
Ste 5100
Chicago, IL 60657
Phone (630) 986-2800
525 E Congress Pkwy
Ste 100
Crystal Lake, IL 60014
Phone (626) 327-6795
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
224 E Railroad St
Sandwich, IL 60548
Phone (815) 786-7150
25 E Schaumburg Rd
Schaumburg, IL 60194
Phone (847) 985-9390
25 E Schaumburg Rd
Ste 101
Schaumburg, IL 60194
Phone (630) 333-6218
1850 Gateway Dr
Sycamore, IL 60178
Phone (815) 217-3252
1850 Gateway Dr
Ste 100
Sycamore, IL 60178
Phone (815) 217-3252
460 Quail Ridge Dr
Westmont, IL 60559
Phone (630) 887-2900
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Interoperability endpoints
- grzegorz.blecharz.1@27511.direct.athenahealth.com
- grzegorz.blecharz.1@380.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Crystal Lake, IL
- NPI 1538517198
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Internal Medicine Physician
- Schaumburg, IL
- NPI 1184456949
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
dba Northwestern Medicine Regional Medical Group
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Corporate Health Clinic/Center
- Hanover Park, IL
- NPI 1215018635
-
- Family Medicine Physician
- Westmont, IL
- NPI 1700609484
-
dba Parsley Medical Group of AK
- General Practice Physician
- Anchorage, AK
- NPI 1679330039
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Good Shepherd Hospital
- General Acute Care Hospital
- Barrington, IL
- NPI 1447368071
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
dba Northwestern Medicine Kishwaukee Hospital
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1811150071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1754 W GOLF RD",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600564071",
"telephone_number": "224-265-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1754 W GOLF RD",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600564071",
"telephone_number": "224-265-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLECHARZ",
"first_name": "GRZEGORZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036128361",
"primary": true
},
{
"code": "207QB0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Obesity Medicine",
"state": "IL",
"license": "87639319",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "125053992",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "grzegorz.blecharz.1@380.direct.athenahealth.com",
"affiliation": "N",
"address_1": "1754 W Golf Rd",
"city": "Mount Prospect",
"state": "IL",
"country_code": "US",
"postal_code": "600564071",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.