Individual provider Active NPI

Jonathan Alan Rosenberg, M.D.

  • Gastroenterology Physician
  • Gurnee, IL
National Provider Identifier
1811150725
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036117327 Issued in IL
Practice address
20 Tower CT
Suite C
Gurnee, IL 60031-5711
Phone
(847) 244-2960
Fax
(847) 244-2986
NPI assigned
Jul 10, 2008
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036117327 IL Primary

Addresses

Primary practice location

20 Tower CT
Suite C
Gurnee, IL 60031-5711

Mailing address

20 Tower CT
Suite C
Gurnee, IL 60031-5711
Phone (847) 244-2960

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address GIAMidwest-LSG@directaddress.net Direct
Direct Messaging Address jrosenberg235675@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110503000291 IL Practitioner - Gastroenterology 6002091238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Illinois Gastroenterology Group LLCGroup PAC ID 5193857423, 116 clinicians

Practice addresses (Care Compare)

20 Tower Court C
Gurnee, IL 60031-5711
Phone (847) 244-2960

745 Fletcher Dr
Suite 202
Elgin, IL 60123-4749
Phone (847) 888-1300

755 S Milwaukee Ave
Suite 292
Libertyville, IL 60048-3266
Phone (847) 244-2960

806 Central Ave
Suite 202
Highland Park, IL 60035-5613
Phone (847) 433-9840

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.21 of 100Reported as group
Quality
67.65
Promoting interoperability
99
Improvement activities
40
Cost
80.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy126
Upper gastrointestinal (GI) endoscopy for acid reflux157

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Gastroenterology Group, LLC Gastroenterology CurrentSince May 1, 2011 Accepting new patients
Northwest Gastroenterologists SC Current Accepting new patients
Elgin Gastroenterology SC Gastroenterology Current Accepting new patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients
Lake Shore Gastroenterology Gastroenterology Past Accepting new patients

Locations

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

20 Tower Ct
Ste C
Gurnee, IL 60031
Phone (847) 244-2960

20 Tower Ct
Ste F
Gurnee, IL 60031
Phone (847) 662-9420

806 Central Ave
Ste 202
Highland Park, IL 60035
Phone (847) 433-9840

101 Waukegan Rd
Ste 980
Lake Bluff, IL 60044
Phone (847) 457-1060

755 S Milwaukee Ave
Ste 195
Libertyville, IL 60048
Phone (847) 367-4277

755 S Milwaukee Ave
Ste 292
Libertyville, IL 60048
Phone (847) 244-2960

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

Interoperability endpoints

  • Direct secure messaging: jrosenberg235675@direct.myadvocateaurora.org

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1811150725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TOWER CT",
            "address_2": "SUITE C",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315711",
            "telephone_number": "847-244-2960",
            "fax_number": "847-244-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TOWER CT",
            "address_2": "SUITE C",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315711",
            "telephone_number": "847-244-2960",
            "fax_number": "847-244-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "JONATHAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036117327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GIAMidwest-LSG@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20 Tower Ct",
            "address_2": "Suite C",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600315711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrosenberg235675@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20 Tower Ct",
            "address_2": "Suite C",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600315711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "20 Tower Ct",
            "address_2": "Suite C",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600315711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.