Active NPI
Andrew Steve Agos, MD
- Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036093418
- Practice address
- 5140 N California Ave
Suite 780
Chicago, IL 60625-3645 - Phone
- (773) 273-6810
- Fax
- (773) 273-5532
- NPI assigned
- Aug 11, 2006
- Last updated
- Feb 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036093418 | IL | Primary |
Addresses
Primary practice location
5140 N California Ave
Suite 780
Chicago, IL 60625-3645
Mailing address
2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone (847) 570-2040
Other practice location 1
9650 Gross Point Rd Ste 3900
Skokie, IL 60076-5085
Phone (847) 570-1700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001630046 | Other | IL | BCBS OF IL GROUP NUMBER |
| 036093418 2 | Medicaid | IL | |
| 036093418 1 | Medicaid | IL |
Other names 1
- Andrew Steve Agos
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aagos21075@direct.northshore.org |
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
- General Surgery
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
2739 W Foster Ave
Chicago, IL 60625-3661
Phone (773) 878-8200
2751 W Winona St
Chicago, IL 60625-2508
Phone (773) 907-7700
5145 N California
Hosps Suite 331
Chicago, IL 60625-3661
Phone (847) 570-2280
5145 N California Ave
Chicago, IL 60625-3661
Phone (773) 878-8200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Boffa Medical Group LLC | Surgery | Past | Accepting new patients |
| Northern Illinois Emergency Surgical Serv LTD | Past | Accepting new patients | |
| Enterprise Surgical Assistance | Past | Accepting new patients |
Locations
5140 N California Ave
Chicago, IL 60625
Phone (773) 275-8811
5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140
9532 Eagle Way
Chicago, IL 60678
49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575
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 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329
777 Park Ave W
Highland Park, IL 60035
Phone (847) 480-3744
9650 Gross Point Rd
Ste 3900
Skokie, IL 60076
Phone (224) 251-2374
Interoperability endpoints
- aagos21075@direct.northshore.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.
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Allergy & Immunology Physician
- Evanston, IL
- NPI 1497701882
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Surgical Physician Assistant
- Berwyn, IL
- NPI 1992910988
-
- Surgical Critical Care Physician
- Evanston, IL
- NPI 1861589020
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Evanston Hospital
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
dba Endeavor Health Swedish Hospital
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1861403891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE STE 1223",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700",
"telephone_number": "847-570-2040",
"fax_number": "847-733-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 N CALIFORNIA AVE",
"address_2": "SUITE 780",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253645",
"telephone_number": "773-273-6810",
"fax_number": "773-273-5532"
}
],
"practiceLocations": [
{
"address_1": "9650 Gross Point Rd Ste 3900",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "600765085",
"country_code": "US",
"telephone_number": "847-570-1700",
"fax_number": "224-251-5470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGOS",
"first_name": "ANDREW",
"middle_name": "STEVE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036093418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL GROUP NUMBER",
"identifier": "0001630046",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036093418 2",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036093418 1",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aagos21075@direct.northshore.org",
"affiliation": "N",
"address_1": "9650 Gross Point Rd Ste 3900",
"city": "Skokie",
"state": "IL",
"country_code": "US",
"postal_code": "600765085",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANDREW",
"last_name": "AGOS",
"middle_name": "STEVE",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.