Individual provider Active NPI

Alan Mark Auerbach, M.D.

  • Gastroenterology Physician
  • Buffalo Grove, IL
National Provider Identifier
1902913759
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036059072 Issued in IL
Practice address
720 Horatio Blvd
Buffalo Grove, IL 60089-6402
Phone
(847) 508-1509
Fax
(847) 459-8968
NPI assigned
Aug 25, 2006
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 01065184A IN
Gastroenterology Physician 207RG0100X 036059072 IL Primary

Addresses

Primary practice location

720 Horatio Blvd
Buffalo Grove, IL 60089-6402

Mailing address

720 Horatio Blvd
Buffalo Grove, IL 60089-6402
Phone (847) 508-1509

Other practice location 1

15 Tower Ct Ste 210
Gurnee, IL 60031-3355
Phone (847) 599-1444

Other practice location 2

1324 N Sheridan Rd
Waukegan, IL 60085-2161
Phone (847) 360-3000

Other practice location 3

11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733
Phone (260) 266-5230

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address aauerbach656619@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, HI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070501000678 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 6507962917 Reassigns benefits to 4 organizations
I20080805000062 IN Practitioner - Gastroenterology 6507962917 Reassigns benefits to 2 organizations
I20231009001898 HI Practitioner - Gastroenterology 6507962917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians
Porter Physician Services LLCGroup PAC ID 1850482407, 96 clinicians

Practice addresses (Care Compare)

11104 Parkview Circle Dr
Fort Wayne, IN 46845-1672
Phone (206) 266-5400

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 425-6030

11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 672-6443

2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone (260) 425-6030

650 Dickinson Rd
Chesterton, IN 46304-3387

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy18
Upper gastrointestinal (GI) endoscopy for acid reflux55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01065184AINMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Health System a Kaiser Foundation Hospitals LLC Current Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Jan 1, 2023 Accepting new patients
Decatur Memorial Hospital Gastroenterology CurrentSince Sep 1, 2024 Accepting new patients
Waukegan Clinic Corp CurrentSince Jan 1, 2023 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Sep 6, 2023 Accepting new patients
Parkview Health System,Inc. Gastroenterology CurrentSince Jun 18, 2024 Accepting new patients
Freeport Memorial Hospital CurrentSince Jan 1, 2024 Accepting new patients
Freeport Regional Health Care Foundation CurrentSince Nov 3, 2023 Accepting new patients
Decatur Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients
Porter Physician Services LLC CurrentSince Jan 1, 2025 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Sep 6, 2023 Accepting new patients
George N Atia, M.D., S.C. Gastroenterology CurrentSince Aug 1, 2021 Accepting new patients
Parkview Health System Inc Current Accepting new patients
Windy City Anesthesia PC PastSince Jul 1, 2021 Accepting new patients
Franciscan Hammond Clinic LLC Past Accepting new patients

Locations

1849 Wili Pa Loop
Wailuku, HI 96793
Phone (808) 242-2010

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

85 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 442-5700

200 Fox Gln
Barrington, IL 60010
Phone (847) 382-7165

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

5744 N Broadway St
Chicago, IL 60660
Phone (312) 335-0180

2 Memorial Dr
Ste 101
Decatur, IL 62526
Phone (217) 875-2640

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

1036 W Stephenson St
Freeport, IL 61032
Phone (815) 599-7410

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

15 Tower Ct
Ste 210
Gurnee, IL 60031
Phone (847) 599-1444

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

22285 N Pepper Rd
Ste 409
Lake Barrington, IL 60010
Phone (847) 382-7165

600 N Rush St
Stockton, IL 61085
Phone (815) 235-3165

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

11104 Parkview Circle Dr
Ste 310
Fort Wayne, IN 46845
Phone (260) 266-5230

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Interoperability endpoints

  • Direct secure messaging: aauerbach656619@direct.parkviewexchange.com
  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1902913759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 HORATIO BLVD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896402",
            "telephone_number": "847-508-1509",
            "fax_number": "847-625-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HORATIO BLVD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896402",
            "telephone_number": "847-508-1509",
            "fax_number": "847-459-8968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Tower Ct Ste 210",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600313355",
            "country_code": "US",
            "telephone_number": "847-599-1444",
            "fax_number": "847-599-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1324 N Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600852161",
            "country_code": "US",
            "telephone_number": "847-360-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451733",
            "country_code": "US",
            "telephone_number": "260-266-5230",
            "fax_number": "260-266-5238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUERBACH",
        "first_name": "ALAN",
        "middle_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01065184A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036059072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aauerbach656619@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.