Individual provider Active NPI

Gursant Atwal, M.D.

  • Neurological Surgery Physician
  • Chicago, IL
National Provider Identifier
1992041461
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
036145915 Issued in IL
Practice address
University of Il Hospital & Health Science System
1740 W Taylor St
Chicago, IL 60612
Phone
(312) 996-4842
Fax
(312) 996-9018
NPI assigned
Jan 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 50220 AZ
Student in an Organized Health Care Education/Training Program 390200000X
Neurological Surgery Physician 207T00000X 036145915 IL Primary

Addresses

Primary practice location

University of Il Hospital & Health Science System
1740 W Taylor St
Chicago, IL 60612

Mailing address

Univ. of Il, Dept. of Neurosurgery
912 S Wood St, M/C 799, Suite 451N
Chicago, IL 60612-4434
Phone (312) 996-4842

Other practice location 1

2910 N 3rd Ave
Phoenix, AZ 85013-4434
Phone (602) 406-3489

Other identifiers 1

IdentifierTypeStateIssuer
017023MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180711001790 IL Practitioner - NeurosurgeryPractitioner - Interventional Radiology 6002136405 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurosurgeryAlso: Interventional Radiology
Education
State University of New York at Buffalo School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

912 S Wood St
Uic Neurosurgery
Chicago, IL 60612-4300
Phone (312) 413-0684

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince May 19, 2018 Accepting new patients
The Board of Trustees of the University of Illinois Neurological Surgery CurrentSince May 19, 2018 Accepting new patients
Cook County Family Medicine CurrentSince Dec 24, 2021 Accepting new patients
Cook County CurrentSince Dec 24, 2021 Accepting new patients
Sinai Community Foundation CurrentSince Dec 12, 2023 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Mount Sinai Community Foundation CurrentSince Dec 12, 2023 Accepting new patients
Cook County Current Accepting new patients

Locations

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

912 S Wood St
Ste 451N
Chicago, IL 60612

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

912 S Wood St
Chicago, IL 60612
Phone (312) 996-2200

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

Organizations & group practices 9

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.

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": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1992041461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIV. OF IL, DEPT. OF NEUROSURGERY",
            "address_2": "912 S WOOD ST, M/C 799, SUITE 451N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124434",
            "telephone_number": "312-996-4842",
            "fax_number": "312-996-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF IL HOSPITAL & HEALTH SCIENCE SYSTEM",
            "address_2": "1740 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-996-4842",
            "fax_number": "312-996-9018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 N 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850134434",
            "country_code": "US",
            "telephone_number": "602-406-3489",
            "fax_number": "602-406-4402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATWAL",
        "first_name": "GURSANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-02",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "50220",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036145915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017023",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.