Active NPI
Szymon S Rosenblatt, MD
- Neurological Surgery Physician
- Elk Grove Village, IL
National Provider Identifier
1952370306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 036077293
- Practice address
- 800 Biesterfield Rd
Eberle 610
Elk Grove Village, IL 60007-3361 - Phone
- (847) 981-3630
- Fax
- (847) 981-3633
- NPI assigned
- Mar 17, 2006
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 036077293 | IL | Primary |
Addresses
Primary practice location
800 Biesterfield Rd
Eberle 610
Elk Grove Village, IL 60007-3361
Mailing address
800 Biesterfield Rd
Eberle 610
Elk Grove Village, IL 60007-3361
Phone (847) 981-3630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036077293 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | szymon.rosenblatt.1@380.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Institute of Neurosurgery & Neuroresearch | Neurological Surgery | Past | Accepting new patients |
| Endeavor Health Medical Group | Neurological Surgery | Past | Accepting new patients |
| Endeavor Health Medical Group | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Neurological Surgery Physician
- Chicago, IL
- NPI 1326099391
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Neurological Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1952370306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD",
"address_2": "EBERLE 610",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073361",
"telephone_number": "847-981-3630",
"fax_number": "847-981-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD",
"address_2": "EBERLE 610",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073361",
"telephone_number": "847-981-3630",
"fax_number": "847-981-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBLATT",
"first_name": "SZYMON",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IL",
"license": "036077293",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036077293",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "szymon.rosenblatt.1@380.direct.athenahealth.com",
"affiliation": "N",
"address_1": "800 Biesterfield Rd",
"address_2": "Eberle 610",
"city": "Elk Grove Village",
"state": "IL",
"country_code": "US",
"postal_code": "600073361",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.