Individual provider Active NPI

Gregory S. Doren, M.D.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1851411847
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036079629 Issued in IL
Practice address
3000 N Halsted St
Suite 501
Chicago, IL 60657-5188
Phone
(773) 935-2800
Fax
(773) 935-2861
NPI assigned
Mar 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036079629 IL Primary

Addresses

Primary practice location

3000 N Halsted St
Suite 501
Chicago, IL 60657-5188

Mailing address

3000 N Halsted St
Suite 501
Chicago, IL 60657-5188
Phone (773) 935-2800

Other identifiers 1

IdentifierTypeStateIssuer
036079629MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address gdoren255355@direct.myadvocateaurora.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
I20060118000193 IL Practitioner - Ophthalmology 8921022187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3000 N Halsted St
Suite 501
Chicago, IL 60657-5194
Phone (773) 935-2800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery90

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Ophthalmology, P.C. Ophthalmology CurrentSince Oct 6, 1995 Accepting new patients

Locations

3000 N Halsted St
Ste 501
Chicago, IL 60657
Phone (773) 296-7160

Interoperability endpoints

  • Direct secure messaging: gdoren255355@direct.myadvocateaurora.org
  • Direct secure messaging: gregorydorenmd@chicagoophth.direct.eyemdemr.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1851411847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST",
            "address_2": "SUITE 501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575188",
            "telephone_number": "773-935-2800",
            "fax_number": "773-935-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST",
            "address_2": "SUITE 501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575188",
            "telephone_number": "773-935-2800",
            "fax_number": "773-935-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOREN",
        "first_name": "GREGORY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036079629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036079629",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3000 N Halsted St",
            "address_2": "Suite 501",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606575188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gdoren255355@direct.myadvocateaurora.org",
            "affiliation": "N",
            "endpointDescription": "Advocate direct messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3000 N Halsted St",
            "address_2": "Suite 501",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606575188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.