Individual provider Active NPI

George Antoine Aghia, M.D.

  • Family Medicine Physician
  • Crest Hill, IL
National Provider Identifier
1811218142
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-133237 Issued in IL
Practice address
16151 Weber Rd
Suite 201
Crest Hill, IL 60403-0863
Phone
(815) 838-2888
NPI assigned
Jun 22, 2010
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LP01968 RI
Family Medicine Physician 207Q00000X 036-133237 IL Primary

Addresses

Primary practice location

16151 Weber Rd
Suite 201
Crest Hill, IL 60403-0863

Mailing address

16151 Weber Rd
Suite 201
Crest Hill, IL 60403-0863
Phone (815) 838-2888

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gaghia50897@direct.edward.org Direct

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
I20131021001027 IL Practitioner - Family Practice 1153556592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 2010
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

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
036-133237ILMDFamily Medicine Physician
LP01968RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Nov 8, 2023 Accepting new patients
Endeavor Health Medical Group Family Medicine Current Accepting new patients
Edward Health Ventures CurrentSince Nov 30, 2017 Accepting new patients
Edward Health Ventures CurrentSince Nov 30, 2017 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

16151 Weber Rd
Ste 201
Crest Hill, IL 60403
Phone (815) 838-2888

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

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

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

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

2007 95th St
Ste 105
Naperville, IL 60564
Phone (630) 646-6920

24600 W 127th St
Ste B100
Plainfield, IL 60585
Phone (815) 731-9000

Interoperability endpoints

  • Direct secure messaging: gaghia50897@direct.edward.org

Organizations & group practices 4

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 3

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": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1811218142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16151 WEBER RD",
            "address_2": "SUITE 201",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030863",
            "telephone_number": "815-838-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 WEBER RD",
            "address_2": "SUITE 201",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030863",
            "telephone_number": "815-838-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHIA",
        "first_name": "GEORGE",
        "middle_name": "ANTOINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "LP01968",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-133237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gaghia50897@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "16151 Weber Rd",
            "address_2": "Suite 201",
            "city": "Crest Hill",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604030863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

Verify at the official NPI Registry.