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DR. JAMES M. MCGRATH DO
NPI 1801971775
Internal Medicine - Hospice and Palliative Medicine in Chicago, IL

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
60.09/100
CMS Quality Rating
AMITA RESURRECTION MEDICAL CENTER, 7435 W. TALCOTT AVE, CHICAGO, IL 60631(773) 990-6940 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 1, 2026, Jun 30, 2025, May 8, 2020 (3 updates tracked since 2020).

About Dr. James M. Mcgrath Do NPPES

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

DR. JAMES M. MCGRATH DO (NPI 1801971775) is an individual hospice and palliative medicine provider in Chicago, Illinois, licensed in Illinois (036092085) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1801971775
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameDR. JAMES M. MCGRATHCredential: DO
Location AddressAMITA RESURRECTION MEDICAL CENTER, 7435 W. TALCOTT AVEChicago, IL 60631
Mailing AddressAmita Resurrection Medical Center, Medical Education, 7435 W. Talcott Ave.Chicago, IL 60631 · (770) 990-6940
Phone(773) 990-6940
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1993
Enumeration DateOctober 26, 2006
Last NPPES UpdateMay 1, 20263 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1801971775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in IL · 036092085
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 036092085 (IL)
AMITA RESURRECTION MEDICAL CENTER, Chicago, IL 60631
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Secondary Practice Locations 5

Location 1777 Park Ave. West, Palliative CareHighland Park, IL 60035-2433 · Phone (847) 503-4222 · Fax (847) 503-4220
Location 29600 Gross Point Rd., Palliative CareSkokie, IL 60076-1214 · Phone (847) 503-4222 · Fax (847) 503-4220
Location 32100 Pfingsten Rd., Palliative CareGlenview, IL 60026-1301 · Phone (847) 503-4222 · Fax (847) 503-4220
Location 4800 W. Central Rd., Palliative CareArlington Heights, IL 60005-2349 · Phone (847) 503-4222 · Fax (847) 503-4220
Location 52650 Ridge Ave, Palliative CareEvanston, IL 60201-1718 · Phone (847) 503-4222 · Fax (847) 503-4220

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Dr. James M. Mcgrath Do 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 ID3476569336
PECOS Enrollment IDI20060301000553
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 James Mcgrath reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endeavor Health Medical Group
10 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

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 6

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
62 services60 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
37 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
30 services23 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.
29 services25 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
28 services27 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.
20 services18 patients

Hospital Affiliations CMS Care Compare

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

60.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.33
Improvement Activities40
Cost41.54

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 James Mcgrath's NPI number?

The NPI number for James Mcgrath is 1801971775. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is James Mcgrath located?

James Mcgrath practices at Amita Resurrection Medical Center 7435 W. Talcott Ave, Chicago, IL 60631. The listed phone number is (773) 990-6940.

What is James Mcgrath's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is James Mcgrath enrolled in Medicare?

Yes. James Mcgrath 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 James Mcgrath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Mcgrath reassigns Medicare benefits to Endeavor Health Medical Group (Evanston, 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 James Mcgrath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Mcgrath accept?

Health plans from Oscar Health list James Mcgrath 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 James Mcgrath affiliated with any hospitals?

According to CMS data, James Mcgrath is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for James Mcgrath was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.