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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ENDEAVOR HEALTH MEDICAL GROUP
NPI 1497701882
Allergy & Immunology in Evanston, IL

Active since May 26, 2006CLIA Certified · 2 labs
1000 CENTRAL ST, EVANSTON, IL 60201(847) 570-5235 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2026, Sep 2, 2025 (2 updates tracked since 2025).

About Endeavor Health Medical Group NPPES

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

ENDEAVOR HEALTH MEDICAL GROUP (NPI 1497701882), doing business as Northshore University Healthsystem Faculty Practice Associates, is a healthcare organization registered as an allergy & immunology in Evanston, Illinois and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates and lists Neil S. Freedman, President, as its authorized official.

NPPES Registry Identity

NPI1497701882
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameENDEAVOR HEALTH MEDICAL GROUP
Location Address1000 CENTRAL STEvanston, IL 60201-1777
Mailing Address1000 Central StEvanston, IL 60201-1777 · (847) 570-5235
Phone(847) 570-5235
Organization SubpartNo
Authorized OfficialNeil S. FreedmanPresident · (847) 570-5272
Enumeration DateMay 26, 2006
Last NPPES UpdateOctober 13, 20262 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1497701882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedNuclear MedicineTaxonomy 207U00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPathology · Blood Banking & Transfusion MedicineTaxonomy 207ZB0001X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
1000 CENTRAL ST, Evanston, IL 60201
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Other Names 1

Doing Business AsNorthshore University Healthsystem Faculty Practice Associates

Other Identifiers 12

Other1633266Bcbs
OtherDB3329Medicare Rr Pin
OtherDB7197Medicare Rr Pin
Other1632989IL · Bcbs Grp#
OtherDB1510IL · Medicare Railroad Pin
Other1620385IL · Bcbs Grp#
OtherDB1601IL · Medicare Railroad Pin
OtherDB4514Medicare Rr Pin
OtherCC9279IL · Medicare Railroad Pin
OtherCG1022IL · Medicare Railroad Pin
OtherCG7704Medicare Rr Pin
OtherDB8753Medicare Rr Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Endeavor Health Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4,817

Medicare enrollment records show 4,817 clinicians reassign Medicare billing to Endeavor Health Medical Group, which bills Medicare for the services they deliver. Of these, 96 practice at this address and 1,907 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 67

Nurse Practitioner833
Hospitalist444
Internal Medicine353
Family Practice340
Certified Registered Nurse Anesthetist (CRNA)332
Anesthesiology287
Emergency Medicine243
Obstetrics/Gynecology189
59 other specialties1,796

Nearest to this location (20)

See all 4,817
Mary Acree, M.D.
Infectious Disease
NPI 1336378348
1000 CENTRAL ST STE 800
Evanston, IL 60201
(847) 657-5959
✔ PECOS✔ Accepts MedicareSame address
William Ares, MD
Neurosurgery
NPI 1396039442
1000 CENTRAL ST STE 880
Evanston, IL 60201
(847) 570-1440
✔ PECOS✔ Accepts MedicareSame address
Alex Auseon, DO
Cardiovascular Disease (Cardiology)
NPI 1528164803
1000 CENTRAL ST STE 730
Evanston, IL 60201
(847) 864-3278
✔ PECOS✔ Accepts MedicareSame address
Laura Bianchi, MD
Gastroenterology
NPI 1932231115
1000 CENTRAL ST SUITE 615
Evanston, IL 60201
(847) 657-1900
✔ PECOSSame address
Vincent Biank, MD
Pediatric Medicine
NPI 1811948243
1000 CENTRAL ST STE 800
Evanston, IL 60201
(847) 570-1795
✔ PECOSSame address
Angela Bicos, MD
Internal Medicine
NPI 1457410417
1000 CENTRAL ST SUITE 640
Evanston, IL 60201
(847) 570-1410
✔ PECOS✔ Accepts MedicareSame address
Christina Boutsicaris, MD
Rheumatology
NPI 1063832996
1000 CENTRAL ST STE 800
Evanston, IL 60201
(847) 570-1122
✔ PECOS✔ Accepts MedicareSame address
Zachary Bulwa, MD, MS
Neurology
NPI 1164876553
1000 CENTRAL ST STE 880
Evanston, IL 60201
(847) 570-2570
✔ PECOS✔ Accepts MedicareSame address
Ryan Cullen, MD
Nephrology
NPI 1538782636
1000 CENTRAL ST STE 800
Evanston, IL 60201
(847) 570-2512
✔ PECOS✔ Accepts MedicareSame address
Nikola Dobrilovic, MD
Cardiac Surgery
NPI 1649228776
1000 CENTRAL ST STE 730
Evanston, IL 60201
(773) 293-4170
✔ PECOS✔ Accepts MedicareSame address
Rebecca Dodick
Nurse Practitioner
NPI 1265926711
1000 CENTRAL ST STE 615
Evanston, IL 60201
(847) 657-1900
✔ PECOS✔ Accepts MedicareSame address
Kristina Drabkin, D.O.
Physical Medicine and Rehabilitation
NPI 1184859985
1000 CENTRAL ST STE 880
Evanston, IL 60201
(847) 503-4500
✔ PECOS✔ Accepts MedicareSame address
Sarah Gray, M.D,
Pulmonary Disease
NPI 1952782310
1000 CENTRAL ST STE 615
Evanston, IL 60201
(847) 750-2714
✔ PECOS✔ Accepts MedicareSame address
Madhuri Konanahalli, M.D.
Dermatology
NPI 1568656130
1000 CENTRAL ST STE 800
Evanston, IL 60201
(847) 663-8060
✔ PECOS✔ Accepts MedicareSame address
Justin Levisay
Interventional Cardiology
NPI 1255458055
1000 CENTRAL ST STE 730
Evanston, IL 60201
(847) 663-8410
✔ PECOS✔ Accepts MedicareSame address
Mark Metzl, MD
Cardiac Electrophysiology
NPI 1588813620
1000 CENTRAL ST STE 730
Evanston, IL 60201
(847) 663-8410
✔ PECOS✔ Accepts MedicareSame address
Isa Ryan, MD
Obstetrics/Gynecology
NPI 1811350895
1000 CENTRAL ST STE 620
Evanston, IL 60201
(847) 933-1773
✔ PECOS✔ Accepts MedicareSame address
Maria Secaras, MA, CCC-A
Qualified Audiologist
NPI 1881850824
1000 CENTRAL ST SUITE 610
Evanston, IL 60201
(847) 570-1308
Same address
Hayley Silver, MD
Urology
NPI 1932510948
1000 CENTRAL ST STE 720
Evanston, IL 60201
(847) 503-3000
✔ PECOS✔ Accepts MedicareSame address
Rachel Story, MD MPH
Allergy/Immunology
NPI 1801856836
1000 CENTRAL ST
Evanston, IL 60201
(847) 570-2431
✔ PECOS✔ Accepts MedicareSame address
See all 4,817 clinicians

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0665475

Endeavor Health - Medical Group Of Evanston · Evanston, IL
Active · expires Dec 24, 2026
CLIA Number14D0665475
Laboratory TypePhysician Office
Certificate Effective DateDecember 25, 2024
Certificate Expiration DateDecember 24, 2026
Laboratory DirectorRenee Elizabeth Westley
Laboratory Phone(847) 570-1410
Laboratory LocationEndeavor Health - Medical Group Of Evanston1000 Central St, Ste 640, Evanston, IL 60201
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2180162

Endeavor Health Omega · Evanston, IL
Active · expires Mar 8, 2028
CLIA Number14D2180162
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorDaria Pachovsky M D
Laboratory Phone(847) 657-1700
Laboratory LocationEndeavor Health Omega1000 Central - Ste 800, Evanston, IL 60201
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Endeavor Health Medical Group's NPI number?

The NPI number for Endeavor Health Medical Group is 1497701882. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as NorthShore University HealthSystem Faculty Practice Associates.

Where is Endeavor Health Medical Group located?

Endeavor Health Medical Group is located at 1000 Central St, Evanston, IL 60201. The listed phone number is (847) 570-5235.

What is Endeavor Health Medical Group's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Endeavor Health Medical Group enrolled in Medicare?

Yes. Endeavor Health Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Endeavor Health Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 4,817 clinicians in 67 Medicare specialties reassign their Medicare billing to Endeavor Health Medical Group. A 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 the clinician's services. The largest specialties are Nurse Practitioner (833), Hospitalist (444) and Internal Medicine (353). Of these, 96 practice at this address and 1,907 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Endeavor Health Medical Group hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Endeavor Health Medical Group accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health list Endeavor Health Medical Group 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.

When was this NPI record last updated?

The NPPES record for Endeavor Health Medical Group was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.