Edwin Vera Gumapas, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Practice address

25 S Virginia St
Ste 201
Crystal Lake, IL 60014-5800

Phone

(815) 356-0475

Fax

(815) 356-0796

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Edwin V. Gumapas M.D. PC

  • Psychiatry Physician
  • Crystal Lake, IL
  • NPI 1114126000
  Medicare reassignment NPD
• Total Care Solutions, SC

  • Geriatric Psychiatry Physician
  • Westchester, IL
  • NPI 1447550603
  Medicare reassignment NPD
• Horizons Behavioral Health LLC

  • Social Worker
  • Crystal Lake, IL
  • NPI 1881692689
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1033101092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S VIRGINIA ST",
            "address_2": "STE 201",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145800",
            "telephone_number": "815-356-0475",
            "fax_number": "815-356-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S VIRGINIA ST",
            "address_2": "STE 201",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145800",
            "telephone_number": "815-356-0475",
            "fax_number": "815-356-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMAPAS",
        "first_name": "EDWIN",
        "middle_name": "VERA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Grotti, DPT
• Victoria Grudzien
• Gary G Gruebnau, LSW MASTERS
• Grace Page Grzybek
• Linda Hnetynka Gullo, LCPC
• Eshwar Gumidyala, MD
• Gupta Medical Clinic LTD
• Sanjeev Gupta, MD
• Rachel Lee Gussman
• Abigail Guthrie

• Psychiatry Physician in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.