Individual provider Active NPI

Gerald Michael Lemole, M.D.

  • Neurological Surgery Physician
  • Chicago, IL
National Provider Identifier
1215984398
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
036-110242 Issued in IL
Practice address
1740 W Taylor St
Chicago, IL 60612-7232
Phone
(312) 996-7699
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 036-110242 IL Primary

Addresses

Primary practice location

1740 W Taylor St
Chicago, IL 60612-7232

Mailing address

912 S Wood St
451N Npi, M/C 799
Chicago, IL 60612-4300
Phone (312) 996-4842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200724000795 PA Practitioner - Neurosurgery 6204726045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Perelman School of Med at the University of Pennsylvania, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, 442 clinicians

Practice addresses (Care Compare)

1200 Old York Rd 1 Widener
Neurosurgical Associates of Abington
Abington, PA 19001-3720
Phone (215) 657-5886

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-110242ILMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince Jul 1, 2020 Accepting new patients
Abington Memorial Hospital Neurological Surgery CurrentSince Jul 1, 2020 Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

1200 Old York Rd
#1
Abington, PA 19001
Phone (215) 481-2400

721 Arbor Way
Ste 103
Blue Bell, PA 19422
Phone (215) 257-6315

1010 Horsham Rd
Ste 205
North Wales, PA 19454
Phone (215) 481-3145

2510 Maryland Rd
Ste 185
Willow Grove, PA 19090
Phone (215) 657-5886

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

Organizations & group practices 3

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1215984398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S WOOD ST",
            "address_2": "451N NPI, M/C 799",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124300",
            "telephone_number": "312-996-4842",
            "fax_number": "312-996-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "312-996-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMOLE",
        "first_name": "GERALD",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036-110242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.