Individual provider Active NPI

Gillian E Munitz, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1003179466
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
125-060977 Issued in IL
Practice address
520 W Huron St
Unit 413
Chicago, IL 60654-3432
Phone
(312) 404-0200
NPI assigned
Jun 20, 2012
Last updated
Sep 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 64494 WI
Emergency Medicine Physician 207P00000X 125-060977 IL Primary

Addresses

Primary practice location

520 W Huron St
Unit 413
Chicago, IL 60654-3432

Mailing address

520 W Huron St
Unit 413
Chicago, IL 60654-3432
Phone (312) 404-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170412001823 TX Practitioner - Emergency Medicine 0244547883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Mayo Medical School, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Brushy Creek Emergency PhysiciansGroup PAC ID 8729483854, 18 clinicians
Lake Travis Emergency Physicians PLLCGroup PAC ID 7315291929, 10 clinicians

Practice addresses (Care Compare)

230 Deer Ridge Dr
Round Rock, TX 78681-5515
Phone (512) 766-1400

5012 RM 620
Austin, TX 78732-1846
Phone (512) 851-1011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-060977ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brushy Creek Emergency Physicians PLLC Emergency Medicine CurrentSince May 23, 2021 Accepting new patients
Lake Travis Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 12, 2019 Accepting new patients
Lake Travis ER, LLC Emergency Medicine Past Accepting new patients
Round Rock Outpatient Care PLLC Family Medicine PastSince Jul 17, 2025 Accepting new patients

Locations

1860 S Lakeline Blvd
Cedar Park, TX 78613
Phone (512) 506-8503

3620 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 260-2732

1925 S A W Grimes Blvd
Round Rock, TX 78664
Phone (512) 260-2732

230 Deer Ridge Dr
Round Rock, TX 78681
Phone (512) 766-1400

3600 E Palm Valley Blvd
Ste 3
Round Rock, TX 78665

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1003179466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W HURON ST",
            "address_2": "UNIT 413",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543432",
            "telephone_number": "312-404-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W HURON ST",
            "address_2": "UNIT 413",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543432",
            "telephone_number": "312-404-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNITZ",
        "first_name": "GILLIAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "64494",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125-060977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.