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Dr. Joshua Robert Trob, MD

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Specializes in: Adult Nephrology

Harvard Medical School (1995)

Professional interests include: chronic kidney disease (CKD), hypertension (high blood pressure), glomerulonephritis, and more.

1272 American Way
Libertyville, IL 60048

(847) 549-7222

Dr. Joshua Robert Trob, MD is a nephrologist in Libertyville, IL specializing in adult nephrology. He graduated from Harvard Medical School in 1995 and has 30 years of experience. Dr. Joshua Robert Trob, MD is affiliated with Private Practice, Northwestern Medicine, Advocate Health Care, Advocate Illinois Masonic Medical Center, Advocate Condell Medical Center, NorthShore and ASSOCIATES IN NEPHROLOGY SC.

Office Locations

Address:

1272 American Way
Libertyville, IL 60048

Address:

15 Tower Court Suite 240
Gurnee, IL 60031

Some issues Dr. Joshua Robert Trob, MD can help you with:

Dialysis

Dialysis is a procedure that replicates renal (kidney) function by filtering patients' blood. When kidneys do not work properly, waste can accumulate in the blood and unbalanced chemicals can impair the body's critical functions. In order to stay healthy, a person without proper kidney function must receive dialysis. There are two forms of dialysis treatment: hemodialysis and peritoneal dialysis. Both forms of dialysis are recurring treatments that in many cases last throughout the lifetime of the affected patient. Patients who briefly lose renal function may slowly reduce the frequency of dialysis sessions until their kidneys recover. However, most patients who start on dialysis remain on dialysis for the rest of their lives or until they receive a kidney transplant.

A number of conditions can worsen renal function and lead to end-stage or acute kidney failure. When kidneys fail (i.e. nearly 90 percent of their function is lost), dialysis is typically prescribed. Conditions that cause chronic kidney failure (eventually requiring dialysis) include:

Type 1 and 2 Diabetes
Pyelonephritis, recurring kidney infection
Glomerulonephritis, inflammation of the kidney's filtering parts
Polycystic kidney disease
Interstitial nephritis, inflammation of the kidney's tubules
High blood pressure
Vesicoureteral reflux, improper bladder emptying

For hemodialysis (the more common form of dialysis), a patient will visit a hospital or clinic and be connected to a dialysis machine by a needle attached to a tube that draws blood from the arm. The drawn blood is transferred to the dialysis machine, where it is filtered and separated until clean. Waste products from the blood pass into a fluid called dialysate, which is pumped out of the machine into a waste receptacle. The machine also measures and helps ensure the blood has the appropriate level of fluid, electrolytes, and pH. A tube delivers the cleaned blood back into the patient's body. A dialysis session like this will typically last for three to four hours, with a patient undergoing dialysis around three times per week.

A second method of dialysis is known as peritoneal dialysis. Unlike hemodialysis, peritoneal dialysis can be performed at home by oneself after an initial surgery. To start, a physician (generally a surgeon) will make a small incision in the lower abdomen and insert and surgically attach a catheter (thin tube). At home, the patient connects a pump to the abdomen catheter, delivering dialysate (dialysis fluid) from a bag hanging on a wheeled stand. This fluid enters the peritoneal cavity (greater abdomen area containing the stomach, liver, and intestines) and collects waste through osmosis, where waste in the blood moves across a membrane and into the dialysate. This process continues for several hours until the fluid concentration is equal between the blood and dialysate, at which point the fluid can be drained. The fluid can then be passed through a machine called a cycler, which removes waste and allows for the dialysate to be reused. This process is repeated about four times per day. Dialysis patients must limit the amount of fluid they consume prior to receiving dialysis and should also avoid eating salty foods. The cycler cannot filter more than a certain amount of waste products from the blood.

Kidneys are important organs, and dialysis treatments are vital for those with renal dysfunction. For many, dialysis is not so much a medical procedure but a part of their normal life.

Kidney Stones

Kidney stones are hard deposits that form in the kidneys, made up of minerals that are normally present in urine. They can vary in size, from as small as a grain of sand to as large as a nickel, occasionally even larger. Sometimes they lodge in the kidney, and sometimes they break free and make their way out through the urinary tract, which can be extremely painful.

Kidney stones can be smooth or jagged and are yellow to brown in color. They are mostly comprised of the minerals calcium, oxalate, and phosphorus. Examining the stones to see what they are made of can show what caused the stone to be formed in the first place. For example, a stone made of mostly calcium, which is the most common type, can happen any time the urine becomes too concentrated due to dehydration or a blockage in the kidney. A uric acid stone forms when acid levels in the urine get too high, usually due to excessive consumption of animal protein such as meat and fish. A struvite stone is a sign of certain infections, and a cystine stone can be due to a genetic disorder that raises the risk of kidney stones.

The most common symptom of kidney stones is pain, either in the back or lower abdomen, or severe pain when urinating. There may also be blood in the urine. Treatment for kidney stones depends on how large the stone is. Very small stones can pass out of the body on their own, and they do not require treatment other than drinking adequate water and taking pain killers. Larger stones need to be broken apart and removed. The main treatment options are:

Shock wave lithotripsy, which uses sound wave vibrations to break apart the stone
Percutaneous nephrolithotomy, or the use of a very tiny tool (like a wire inserted through the back) to break apart and remove the stone
Ureteroscopy, a thin tube inserted through the urethra and bladder to the stone, where tiny tools can grasp the stone and remove

People who have had one kidney stone are at risk of developing another. To reduce this risk, patients are given instructions specific to the type of stone they developed. Generally the instructions will include drinking more water to dilute the urine, but it may also involve lowering sodium intake or eating less meat.

blood draw	168
dialysis	71
doctor visit	918
hospital care	1690
inpatient care	1690
lab tests	556

**Gender**
Male	352
Female	354

**Ethnicity**
Non-Hispanic White	574
Black	57
Hispanic	51
Asian	11
Other	0
Native American	0

**Age**
From 65 to 74	220
From 75 to 84	246
85 and over	135
Less than 65	105

Hypertension	75
High Cholesterol	73
Stroke	8
Ischemic Heart Disease	66
Depression	26
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	7
Atrial Fibrilation	26
Heart Failure	50
Chronic Obstructive Pulmonary Disease	27
Diabetes	59
Dementia	17
Cancer	14

blood draw	213
dialysis	76
doctor visit	940
hospital care	2246
inpatient care	2246
lab tests	81

**Gender**
Male	425
Female	393

**Ethnicity**
Non-Hispanic White	657
Black	64
Hispanic	59
Asian	22
Other	0
Native American	0

**Age**
From 65 to 74	258
From 75 to 84	284
85 and over	173
Less than 65	103

Hypertension	75
High Cholesterol	71
Stroke	11
Ischemic Heart Disease	65
Depression	28
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	8
Atrial Fibrilation	25
Heart Failure	52
Chronic Obstructive Pulmonary Disease	30
Diabetes	58
Dementia	21
Cancer	14

blood draw	123
dialysis	85
doctor visit	782
hospital care	2591
inpatient care	2591
lab tests	46

**Gender**
Male	890
Female	888

**Ethnicity**
Non-Hispanic White	1412
Black	154
Hispanic	142
Asian	40
Other	0
Native American	0

**Age**
From 65 to 74	552
From 75 to 84	624
85 and over	362
Less than 65	240

Hypertension	75
High Cholesterol	74
Stroke	13
Ischemic Heart Disease	63
Depression	29
Chronic Kidney Disease	75
Asthma	21
Osteoperosis	9
Atrial Fibrilation	28
Heart Failure	52
Chronic Obstructive Pulmonary Disease	30
Diabetes	59
Dementia	20
Cancer	14

blood draw	66
dialysis	59
doctor visit	761
hospital care	1968
inpatient care	1968

**Gender**
Male	424
Female	396

**Ethnicity**
Non-Hispanic White	646
Black	65
Hispanic	76
Asian	21
Other	0
Native American	0

**Age**
From 65 to 74	271
From 75 to 84	273
85 and over	165
Less than 65	111

Hypertension	75
High Cholesterol	74
Stroke	10
Ischemic Heart Disease	63
Depression	26
Chronic Kidney Disease	75
Asthma	31
Osteoperosis	9
Atrial Fibrilation	27
Heart Failure	52
Chronic Obstructive Pulmonary Disease	30
Diabetes	60
Dementia	24
Cancer	17

blood draw	63
dialysis	58
doctor visit	753
hospital care	1981
inpatient care	1981

**Gender**
Male	437
Female	369

**Ethnicity**
Non-Hispanic White	635
Black	61
Hispanic	71
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	252
From 75 to 84	287
85 and over	180
Less than 65	87

Hypertension	75
High Cholesterol	73
Stroke	10
Ischemic Heart Disease	64
Depression	27
Chronic Kidney Disease	75
Asthma	7
Osteoperosis	8
Atrial Fibrilation	28
Heart Failure	51
Chronic Obstructive Pulmonary Disease	29
Diabetes	57
Dementia	24
Cancer	16

blood draw	22
dialysis	17
doctor visit	690
hospital care	1886
inpatient care	1886

**Gender**
Male	454
Female	344

**Ethnicity**
Non-Hispanic White	627
Black	64
Hispanic	70
Asian	23
Other	0
Native American	0

**Age**
From 65 to 74	244
From 75 to 84	286
85 and over	174
Less than 65	94

Hypertension	75
High Cholesterol	75
Stroke	10
Ischemic Heart Disease	61
Depression	30
Chronic Kidney Disease	0
Asthma	6
Osteoperosis	11
Atrial Fibrilation	27
Heart Failure	55
Chronic Obstructive Pulmonary Disease	30
Diabetes	58
Dementia	25
Cancer	16

chronic care	201
doctor visit	671
hospital care	2298
inpatient care	2298

**Gender**
Male	456
Female	390

**Ethnicity**
Non-Hispanic White	659
Black	65
Hispanic	78
Asian	25
Other	0
Native American	0

**Age**
From 65 to 74	271
From 75 to 84	307
85 and over	180
Less than 65	88

Hypertension	75
High Cholesterol	75
Stroke	13
Ischemic Heart Disease	63
Depression	30
Chronic Kidney Disease	75
Asthma	7
Osteoperosis	11
Atrial Fibrilation	30
Heart Failure	59
Chronic Obstructive Pulmonary Disease	30
Diabetes	58
Dementia	25
Cancer	17

doctor visit	344
hospital care	2226
inpatient care	2226

**Gender**
Male	410
Female	345

**Ethnicity**
Non-Hispanic White	573
Black	78
Hispanic	72
Asian	20
Other	12
Native American	0

**Age**
From 65 to 74	258
From 75 to 84	251
85 and over	158
Less than 65	88

Hypertension	75
High Cholesterol	72
Stroke	12
Ischemic Heart Disease	63
Depression	33
Chronic Kidney Disease	75
Asthma	10
Osteoperosis	10
Atrial Fibrilation	30
Heart Failure	58
Chronic Obstructive Pulmonary Disease	29
Diabetes	58
Dementia	29
Cancer	15

dialysis	176
doctor visit	1089
hemofiltration	37
hospital care	4155
inpatient care	4155

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Joshua Robert Trob, MD for Medicare patients.

The highest averages for the top procedures that Dr. Joshua Robert Trob, MD treated as a nephrologist in Libertyville, IL were hospital care, inpatient care, lab tests and chronic care.

blood draw	109
chronic care	201
dialysis	78
doctor visit	773
hemofiltration	37
hospital care	2337
inpatient care	2337
lab tests	227

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Joshua Robert Trob, MD.

**Gender**
Female	347
Male	384

**Ethnicity**
Black / African American	60
Asian / Pacific Islander	16
Non-Hispanic White	578
Native American / Alaskan Native	0
Hispanic	61
Other	1

**Age**
85 and over	152
75 to 84	255
Less than 65	91
65 to 74	232

Average of Total of Conditions of Medicare patients treated by Dr. Joshua Robert Trob, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Joshua Robert Trob, MD treated were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	60
High Cholesterol	58
Stroke	8
Ischemic Heart Disease	50
Depression	22
Chronic Kidney Disease	52
Asthma	10
Osteoporosis	7
Heart Failure	42
Chronic Obstructive Pulmonary Disease	23
Diabetes	46
Atrial Fibrillation	22
Dementia	18
Cancer	12

Education & Training

Dr. Joshua Robert Trob, MD graduated from Harvard Medical School in 1995. He completed residency at Barnes-Jewish Hospital. He is certified by the American Board of Internal Medicine - Nephrology (Certified) and has a state license in Illinois.

Medical School: Harvard Medical School (1995)

Residency: Barnes-Jewish Hospital

Board Certification: American Board of Internal Medicine - Nephrology (Certified)

Licensed In: Illinois

Affiliations & Hospitals

Dr. Joshua Robert Trob, MD is associated with these hospitals and organizations:

Private Practice

Northwestern Medicine

Advocate Health Care

Advocate Illinois Masonic Medical Center

Advocate Condell Medical Center

NorthShore

ASSOCIATES IN NEPHROLOGY SC

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Joshua Robert Trob, MD appears to accept the following insurance providers: HFN, Blue Advantage PPO, Humana PPO, Aetna Medicare PPO, PHCS PPO, United Healthcare Choice Plus PPO, Aetna Choice POS II, Medicare Advantage, MultiPlan PPO, Blue Cross PPO, AARP, CIGNA Choice Fund PPO, Blue Advantage HMO, Blue Cross Medicare Advantage PPO, United Healthcare Select Plus POS, Coventry PPO, United Healthcare Options PPO, United Healthcare Indemnity, Humana National POS - Open Access, United Healthcare Choice Plus POS, Humana HMO, Aetna, Humana HMO Premier, Unicare PPO, Golden Rule, Humana Platinum HMO, TRICARE Prime, Aetna POS, Aetna QPOS, United Healthcare, Aetna Open Choice PPO, Aetna Open Access HMO, Humana, Cigna, Community Care Network (CCN), TRICARE, Coventry, Aetna Open Access Aetna Select, Aetna Select, Humana National HMO, Humana National EPO, HealthLink PPO, Aetna Choice POS, United Healthcare Navigate HMO, Aetna EPO, First Health, Humana ChoiceCare PPO, Aetna PPO, HFN EPO, Aetna HMO, HFN PPO, HFN Platinum EPO, Union Health Services, Inc., HST Care Connect PPO, Blue Cross Medicare Supplement PPO, United Surest (previously Bind), Blue Cross Community MMAI, Health Alliance Employee EPO, AAH UMR Select - Team Member Plan, HST Care Connect EPO, SEIU - Local 4 HMO, Meridian, SEIU - Local 4 PPO, Union Medical Care PPO, Blue Precision HMO, Union Medical (Local 1546) HMO, BlueCare Direct HMO, Blue Cross HMO Illinois and AAH UMR Preferred - Team Member Plan.

Insurance Accepted by Provider includes:

According to our sources, Dr. Joshua Robert Trob, MD accepts the following insurance providers:

HFN

Blue Advantage PPO

Humana PPO

Aetna Medicare PPO

PHCS PPO

United Healthcare Choice Plus PPO

Aetna Choice POS II

Medicare Advantage

MultiPlan PPO

Blue Cross PPO

AARP

CIGNA Choice Fund PPO

Blue Advantage HMO

Blue Cross Medicare Advantage PPO

United Healthcare Select Plus POS

Coventry PPO

United Healthcare Options PPO

United Healthcare Indemnity

Humana National POS - Open Access

United Healthcare Choice Plus POS

Humana HMO

Aetna

Humana HMO Premier

Unicare PPO

Golden Rule

Humana Platinum HMO

TRICARE Prime

Aetna POS

Aetna QPOS

United Healthcare

Aetna Open Choice PPO

Aetna Open Access HMO

Humana

Cigna

Community Care Network (CCN)

TRICARE

Coventry

Aetna Open Access Aetna Select

Aetna Select

Humana National HMO

Humana National EPO

HealthLink PPO

Aetna Choice POS

United Healthcare Navigate HMO

Aetna EPO

First Health

Humana ChoiceCare PPO

Aetna PPO

HFN EPO

Aetna HMO

HFN PPO

HFN Platinum EPO

Union Health Services, Inc.

HST Care Connect PPO

Blue Cross Medicare Supplement PPO

United Surest (previously Bind)

Blue Cross Community MMAI

Health Alliance Employee EPO

AAH UMR Select - Team Member Plan

HST Care Connect EPO

SEIU - Local 4 HMO

Meridian

SEIU - Local 4 PPO

Union Medical Care PPO

Blue Precision HMO

Union Medical (Local 1546) HMO

BlueCare Direct HMO

Blue Cross HMO Illinois

AAH UMR Preferred - Team Member Plan

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General Payments

These charts describe general payments received by Dr. Joshua Robert Trob, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Fresenius USA Marketing, Inc.	$386 Velphoro $262	KORSUVA $45	Dialyzers $17	$62
Amgen Inc.	$373 Parsabiv $249	Tavneos $101	Sensipar $23
Mallinckrodt Hospital Products Inc.	$353 ACTHAR $353
Mallinckrodt LLC	$337 ACTHAR $337
AstraZeneca Pharmaceuticals LP	$320 LOKELMA $235	FARXIGA $59	$25
Other	$3,087 Injectafer $322	Rayaldee $278	KRYSTEXXA $260	Auryxia $249	VELTASSA $211	Other $1,767

**Types of Payments**
Food and Beverage	$4,630
Education	$225

Biography

Dr. Joshua Trob is a specialist in adult nephrology in Libertyville, IL and Gurnee, IL. Dr. Trob obtained his medical school training at Harvard Medical School and performed his residency at Barnes-Jewish Hospital. His areas of expertise include the following: kidney stones, second opinions, and hypertension (high blood pressure). He most likely takes Aetna EPO, Blue California, and Coventry, as well as other insurance carriers. His professional affiliations include Advocate Condell Medical Center, Private Practice, and Northwestern Medicine Lake Forest Hospital.