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ADI GIDRON MD
NPI 1184767444
Internal Medicine - Hematology & Oncology in Highland Park, IL

Active since February 15, 2007PECOS EnrolledAccepts Medicare Assignment
767 PARK AVE W, SUITE 120, HIGHLAND PARK, IL 60035(847) 432-0300(847) 432-1203 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Adi Gidron Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADI GIDRON MD (NPI 1184767444) is an individual hematology & oncology provider in Highland Park, Illinois, licensed in Illinois (036110781) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Evanston.

NPPES Registry Identity

NPI1184767444
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameADI GIDRONCredential: MD
Location Address767 PARK AVE W, SUITE 120Highland Park, IL 60035-2400
Mailing Address62311 Collection Center DrChicago, IL 60693-0623 · (847) 432-0300 · Fax (847) 432-1203
Phone(847) 432-0300
Fax(847) 432-1203
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2001
Enumeration DateFebruary 15, 2007
Last NPPES UpdateMarch 16, 2021
NPPES CertifiedMarch 16, 2021
✔ NPI 1184767444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in IL · 036110781
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
767 PARK AVE W, Highland Park, IL 60035
Open in Google Maps ↗

Secondary Practice Location 1

Location 1800 Austin St Ste 360Evanston, IL 60202-3454 · Phone (847) 316-2635

Other Identifiers 1

Medicaid036110781IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adi Gidron Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315046893
PECOS Enrollment IDI20070625000287
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Adi Gidron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prime Healthcare Illinois Medical Group LLC
11 mi
Multi-Specialty
2380 E DEMPSTER ST
Des Plaines, IL 60016
  • Reassigned Medicare billing, Illinois enrollment
  • 443 clinicians in this Medicare group
NPI 1023837689 (833) 291-0464

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
452 services141 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
235 services159 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
209 services90 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
116 services58 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
92 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
77 services31 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140080
Location355 Ridge AveEvanston, IL 60202 · Cook County
Emergency services

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Amita Health Resurrection Medical Center

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140117
Location7435 W Talcott AvenueChicago, IL 60631 · Cook County
Emergency services Birthing friendly

Presence Saint Joseph Hospital - Chicago

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140224
Location2900 North Lake Shore DriveChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$181.38 typical visit price
range $59.81 – $181.38
Typical copayment $45.34 (range $14.95 – $45.34)
Most-billed visit code 99205
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERICA DAYAN M.D.
Pediatrics
767 PARK AVE W, SUITE 230
HIGHLAND PARK, IL 60035
Lake County (847) 681-7100
A TO Z OF HEALTH LLC
Internal Medicine (Sports Medicine)
767 PARK AVE W, STE 130
HIGHLAND PARK, IL 60035
Lake County (847) 433-1501
DR. MICHAEL R BINDER M.D.
Psychologist
767 PARK AVE W, SUITE 210
HIGHLAND PARK, IL 60035
Lake County (847) 681-8311
JORDAN D. GRUMET MD
Internal Medicine
767 PARK AVE W, SUITE 350
HIGHLAND PARK, IL 60035
Lake County (847) 926-4445
NORMAN J MARKUS M.D. S.C.
Surgery (Plastic and Reconstructive Surgery)
767 PARK AVE W, 180
HIGHLAND PARK, IL 60035
Lake County (847) 432-8180
LAKE SHORE FOOT & ANKLE, PC
Podiatrist (Foot & Ankle Surgery)
767 PARK AVE W, SUITE 130
HIGHLAND PARK, IL 60035
Lake County (847) 432-6400
ANDREW PAUL LAZAR MDSL
Dermatology
767 PARK AVE W, SUITE 130
HIGHLAND PARK, IL 60035
Lake County (847) 433-1501
STEPHEN PETER HAGGERTY M.D.
Surgery
767 PARK AVE W, SUITE 320
HIGHLAND PARK, IL 60035
Lake County (847) 433-1060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adi Gidron's NPI number?

The NPI number for Adi Gidron is 1184767444. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Adi Gidron located?

Adi Gidron practices at 767 Park Ave W Suite 120, Highland Park, IL 60035. The listed phone number is (847) 432-0300.

What is Adi Gidron's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Adi Gidron enrolled in Medicare?

Yes. Adi Gidron is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Adi Gidron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adi Gidron reassigns Medicare benefits to Prime Healthcare Illinois Medical Group LLC (Des Plaines, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adi Gidron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adi Gidron accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Adi Gidron as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Adi Gidron affiliated with any hospitals?

According to CMS data, Adi Gidron is affiliated with Northshore University Healthsystem - Evanston Hospital, Presence Saint Francis Hospital, Swedish Hospital, Amita Health Resurrection Medical Center and Presence Saint Joseph Hospital - Chicago.

When was this NPI record last updated?

The NPPES record for Adi Gidron was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.