Pablo V Gejman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036097886 Issued in IL

Practice address

1001 University PL
Evanston, IL 60201-3137

Phone

(224) 364-7550

Fax

(224) 364-7570

NPI assigned

Nov 21, 2006

Last updated

Jan 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: pgejman243023@direct.northshore.org

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.

• Endeavor Health Medical Group

  dba NorthShore Anesthesia Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD (past)
• Endeavor Health Medical Group

  dba NorthShore University HealthSystem Faculty Practice Associates

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1881769362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "address_2": "EVANSTON HOSPITAL",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011718",
            "telephone_number": "847-570-1206",
            "fax_number": "847-570-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 UNIVERSITY PL",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013137",
            "telephone_number": "224-364-7550",
            "fax_number": "224-364-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEJMAN",
        "first_name": "PABLO",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036097886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgejman243023@direct.northshore.org",
            "affiliation": "N",
            "address_1": "1001 University Pl",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602013137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgejman243023@direct.northshore.org",
            "affiliation": "N",
            "address_1": "1001 University Pl",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602013137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eden Gebre
• Ekaterina Gedich, MD
• Danielle Geft
• Lior Geft, JD
• Leslie J Geibel
• Alex Gelber
• Richard Gelfand, M.D.
• Jolene Gembara
• Mark D Gendleman, M.D.
• Margaret Ann Gentine

• Psychiatry Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.