Individual provider Active NPI

Glenn Casimiro Gomes, MD

  • Emergency Medicine Physician
  • Naperville, IL
National Provider Identifier
1063867885
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036148855 Issued in IL
Practice address
801 S Washington St
Naperville, IL 60540-7430
Phone
(630) 527-3000
Fax
(630) 527-5018
NPI assigned
Apr 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036148855 IL Primary

Addresses

Primary practice location

801 S Washington St
Naperville, IL 60540-7430

Mailing address

720 W Randolph St Apt 1007
Chicago, IL 60661-2171
Phone (732) 610-6127

Other practice location 1

375 N Wall St
Kankakee, IL 60901-3483
Phone (815) 935-7500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190911000238 IL Practitioner - Emergency Medicine 0345573440 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Tufts University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Emergency Physicians LLCGroup PAC ID 6204294119, 35 clinicians
Edward HospitalGroup PAC ID 0042108110, 98 clinicians

Practice addresses (Care Compare)

350 N Wall St
Kankakee, IL 60901-2901
Phone (815) 933-1671

801 S Washington St
Naperville, IL 60540-7430
Phone (312) 355-0450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036148855ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Hospital CurrentSince Jan 3, 2026 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Jan 3, 2026 Accepting new patients
Endeavor Health Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Laboratory & Pathology Diagnostics, LLC Current Accepting new patients
Edward Hospital CurrentSince Jan 3, 2026 Accepting new patients
Endeavor Health Medical Group Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Riverside Emergency Physicians, LLC Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Ky-I Medical Services, P.S.C. Past Accepting new patients

Locations

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

9532 Eagle Way
Chicago, IL 60678

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
  • Direct secure messaging: doctorsofficeofwestcaldwell.glenngomes@125570.advancedmd-direct.com
  • Direct secure messaging: ggomes273455@ahs.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1063867885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W RANDOLPH ST APT 1007",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612171",
            "telephone_number": "732-610-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407430",
            "telephone_number": "630-527-3000",
            "fax_number": "630-527-5018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 N Wall St",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "609013483",
            "country_code": "US",
            "telephone_number": "815-935-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMES",
        "first_name": "GLENN",
        "middle_name": "CASIMIRO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-29",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036148855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.