NPIMap

Organization Active NPI

Partners in Obstetrics & Womens Health

  • Obstetrics & Gynecology Physician
  • New Lenox, IL
National Provider Identifier
1295894616
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PARTNERS IN OBSTETRICS & WOMENS HEALTH
Practice address
1890 Silver Cross Blvd
Suite 210
New Lenox, IL 60451-9524
Phone
(815) 463-3000
Fax
(815) 463-3013
NPI assigned
Dec 8, 2006
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Gamilah N Pierre, M.D.NPI 1750398095
Title
President
Phone
(815) 463-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1890 Silver Cross Blvd
Suite 210
New Lenox, IL 60451-9524

Mailing address

1890 Silver Cross Blvd Ste 210
New Lenox, IL 60451-9626
Phone (815) 463-3000

Other identifiers 2

IdentifierTypeStateIssuer
09932229OtherILBCBS
DD9140OtherILRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041012000611 IL Part B Supplier - Clinic/Group Practice 2365402641 Receives reassigned benefits from 17 practitioners
Practice locations: New Lenox, IL

National Provider Directory

National Provider Directory

Locations

20646 S Lagrange Rd
Ste 104
Frankfort, IL 60423
Phone (815) 464-1616

1301 Copperfield Ave
Ste 215
Joliet, IL 60432
Phone (815) 464-1616

1301 Copperfield Ave
Ste 216
Joliet, IL 60432

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEFBDA

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1295894616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 210",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519626",
            "telephone_number": "815-463-3000",
            "fax_number": "815-463-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "SUITE 210",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519524",
            "telephone_number": "815-463-3000",
            "fax_number": "815-463-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN OBSTETRICS & WOMENS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "GAMILAH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-463-3000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09932229",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DD9140",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.