Individual provider Active NPI

Charles D Ghee, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Maywood, IL
National Provider Identifier
1851659643
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
036.143007 Issued in IN
Practice address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone
(708) 327-2437
NPI assigned
Apr 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 036.143007 IN Primary
Surgery Physician 208600000X 0116024932 VA

Addresses

Primary practice location

2160 S 1St Ave
Maywood, IL 60153-3328

Mailing address

2160 S 1St Ave
Maywood, IL 60153-3328

Other practice location 1

3300 Gallows Rd
Department of Surgery
Falls Church, VA 22042-3307
Phone (703) 776-2337

Other practice location 2

1205 S Main St Ste 101
Crown Point, IN 46307-3677
Phone (219) 662-0077

Other identifiers 1

IdentifierTypeStateIssuer
036.143007OtherILMEDICAL LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cghee481069@Direct.FranciscanAlliance.org Direct
Direct Messaging Address cghee87700@direct.luhs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, WI, IA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190927000524 IL Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 3870865603 Reassigns benefits to 3 organizations
I20200930002210 IN Practitioner - General Surgery 3870865603 Reassigns benefits to 2 organizations
I20231116001162 WI Practitioner - Thoracic Surgery 3870865603 Reassigns benefits to 1 organization
I20240319000494 IA Practitioner - Thoracic Surgery 3870865603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Morehouse School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Surgery Associates SCGroup PAC ID 2860304102, 44 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 421-1000

301 Madison St
Suite 280
Joliet, IL 60435-6549
Phone (630) 324-7915

611 E Douglas Rd
Mishawaka, IN 46545-1465

616 E 13TH St
Cardiology Winamac
Winamac, IN 46996-1117
Phone (574) 948-5340

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)15
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116024932VAMDSurgery Physician
036.143007INMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Surgery Associates SC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 19, 2019 Accepting new patients
Osf Multi-Specialty Group CurrentSince Sep 23, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Franciscan Physician Network CurrentSince Jun 30, 2020 Accepting new patients
Franciscan Physician Network CurrentSince Jun 30, 2020 Accepting new patients
Loyola University Medical Center CurrentSince Feb 1, 2020 Accepting new patients
Loyola University Medical Center CurrentSince Feb 1, 2020 Accepting new patients
Genesis Health System Surgery CurrentSince Sep 1, 2024 Accepting new patients
Agnesian Healthcare Inc CurrentSince Oct 7, 2023 Accepting new patients
Genesis Health System CurrentSince Sep 1, 2024 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Agnesian Healthcare Inc Surgery CurrentSince Oct 7, 2023 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Agnesian Healthcare, Inc Current Accepting new patients

Locations (25 of 27)

4480 Utica Ridge Rd
Ste 2222
Bettendorf, IA 52722
Phone (563) 742-3111

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1236 E Rusholme St
Ste 150
Davenport, IA 52803
Phone (563) 421-3990

100 Provena Way
Ste B
Bourbonnais, IL 60914
Phone (815) 937-8780

7447 W Talcott Ave
Ste 512
Chicago, IL 60631
Phone (773) 237-8722

3000 N Halsted St
Ste 606
Chicago, IL 60657
Phone (773) 296-3700

2650 Warrenville Rd
Ste 280
Downers Grove, IL 60515
Phone (630) 324-7920

3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900

133 E Brush Hill Rd
Ste 200
Elmhurst, IL 60126

301 Madison St
Ste 280
Joliet, IL 60435
Phone (630) 324-7915

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

2160 S 1st Ave
Ste 6243
Maywood, IL 60153
Phone (708) 327-2503

500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840

801 S Washington St
Fl 4
Naperville, IL 60540
Phone (630) 416-8500

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

1875 W Dempster St
Ste 410
Park Ridge, IL 60068
Phone (847) 318-9595

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

2560 24th St
Ste 201
Rock Island, IL 61201
Phone (309) 779-3111

444 Roxbury Rd
Rockford, IL 61107
Phone (815) 395-9196

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1205 S Main St
Ste 101
Crown Point, IN 46307
Phone (219) 662-0077

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: cghee680452@direct.unitypoint.org
  • Direct secure messaging: cghee195282@direct.edward.org
  • Direct secure messaging: cghee452323@direct-ehr-ssmhc.com
  • Direct secure messaging: cghee481069@direct.franciscanalliance.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1851659643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-327-2437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_2": "Department of Surgery",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-2337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1205 S Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463073677",
            "country_code": "US",
            "telephone_number": "219-662-0077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHEE",
        "first_name": "CHARLES",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "036.143007",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0116024932",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "036.143007",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cghee481069@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1205 S Main St Ste 101",
            "city": "Crown Point",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463073677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cghee87700@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.