NPIMap

Individual provider Active NPI

Gayle M Simmons, MD

  • Obstetrics & Gynecology Physician
  • Downers Grove, IL
National Provider Identifier
1154482024
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036071506 Issued in IL
Practice address
412 63Rd St Ste 103
Downers Grove, IL 60516-2000
Phone
(630) 969-7706
Fax
(630) 971-6362
NPI assigned
Dec 13, 2006
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036071506 IL Primary

Addresses

Primary practice location

412 63Rd St Ste 103
Downers Grove, IL 60516-2000

Mailing address

412 63Rd St Ste 103
Downers Grove, IL 60516-2000
Phone (630) 969-7706

Other identifiers 1

IdentifierTypeStateIssuer
036071506MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gayle.simmons.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014001212 IL Practitioner - Obstetrics/Gynecology 4385837988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Chicago College of Medicine and Surgery, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000

396 Remington Blvd
Bolingbrook, IL 60440-4311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc CurrentSince Oct 1, 2012 Accepting new patients
Adventist Health Partners, Inc. CurrentSince Oct 1, 2012 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Health Partners,Inc Past Accepting new patients
Lakeshore Womens Health Specialists SC Obstetrics & Gynecology Past Accepting new patients
Illinois Uvc Medical PLLC PastSince Nov 30, 2021 Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

412 63rd St
Ste 103
Downers Grove, IL 60516
Phone (630) 719-5472

5207 Main St
Downers Grove, IL 60515
Phone (630) 435-9888

911 N Elm St
Ste 301
Hinsdale, IL 60521
Phone (630) 856-8650

Interoperability endpoints

  • Direct secure messaging: gayle.simmons.1@380.direct.athenahealth.com
  • Direct secure messaging: gsimmons1240314@adventhealth.direct-ci.com

Organizations & group practices 6

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 6

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1154482024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 63RD ST STE 103",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162000",
            "telephone_number": "630-969-7706",
            "fax_number": "630-971-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 63RD ST STE 103",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162000",
            "telephone_number": "630-969-7706",
            "fax_number": "630-971-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "GAYLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036071506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071506",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gayle.simmons.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "412 63rd St Ste 103",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605162000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.