Individual provider Active NPI

Gina Lesnik, D.O.

  • Family Medicine Physician
  • Aurora, IL
National Provider Identifier
1164418653
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-091841 Issued in IL
Practice address
2972 Indian Trail Rd
Aurora, IL 60502-9408
Phone
(630) 499-0812
Fax
(630) 499-0823
NPI assigned
Sep 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-091841 IL Primary

Addresses

Primary practice location

2972 Indian Trail Rd
Aurora, IL 60502-9408

Mailing address

2972 Indian Trail Rd Ste a
Aurora, IL 60502-9408
Phone (630) 499-0812

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
I20100327000250 IL Practitioner - Family Practice 2860528023 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-091841ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush-Copley Medical Group, NFP Family Medicine CurrentSince Jul 1, 2012 Accepting new patients

Locations

2972 Indian Trail Rd
Aurora, IL 60502
Phone (630) 236-4240

1256 Waterford Dr
Ste 230
Aurora, IL 60504
Phone (630) 499-2404

2972 Indian Trail Rd
Ste A
Aurora, IL 60502
Phone (630) 499-0812

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

Interoperability endpoints

  • Direct secure messaging: glesnik84001@direct.rush.rush-health.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1164418653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2972 INDIAN TRAIL RD STE A",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029408",
            "telephone_number": "630-499-0812",
            "fax_number": "630-499-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2972 INDIAN TRAIL RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029408",
            "telephone_number": "630-499-0812",
            "fax_number": "630-499-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESNIK",
        "first_name": "GINA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-091841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.