Active NPI
Gameli Dekayie Bush, MD
- Emergency Medicine Physician
- Hazel Crest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036.132346
- Practice address
- 17800 Kedzie Ave
Hazel Crest, IL 60429-2029 - Phone
- (708) 213-4200
- Fax
- (708) 213-0144
- NPI assigned
- Jul 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036.132346 | IL | Primary |
Addresses
Primary practice location
17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Mailing address
29373 Network PL
Chicago, IL 60673-1945
Phone (847) 390-5900
Other names 1
- Gameli Adzo Dekayie-Amenu
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gdekayie205869@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130712000559 | IL | Practitioner - Emergency Medicine | 4284874348 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.132346 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerge Medstaffing LLC | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Em Strategies,LTD. | Emergency Medicine | Current | Accepting new patients |
| Emerge Medstaffing LLC | Emergency Medicine | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health & Hospitals Corp. | Emergency Medicine | Current | Accepting new patients |
Locations
595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944
135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
30 E 15th St
Chicago Hts, IL 60411
Phone (312) 206-1064
20180 S Lagrange Rd
Frankfort, IL 60423
Phone (630) 362-1035
17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200
12701 W 143rd St
Lockport, IL 60491
Phone (708) 364-6337
1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106
Interoperability endpoints
- gdekayie205869@direct.myadvocateaurora.org
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
IL
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1750315545
Emergency Medicine
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Emergency Medicine Physician
- Chicago Heights, IL
- NPI 1780167841
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1306159363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731945",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17800 KEDZIE AVE",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292029",
"telephone_number": "708-213-4200",
"fax_number": "708-213-0144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "GAMELI",
"middle_name": "DEKAYIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036.132346",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gdekayie205869@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "17800 Kedzie Ave",
"city": "Hazel Crest",
"state": "IL",
"country_code": "US",
"postal_code": "604292029",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "17800 Kedzie Ave",
"city": "Hazel Crest",
"state": "IL",
"country_code": "US",
"postal_code": "604292029",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "GAMELI",
"last_name": "DEKAYIE-AMENU",
"middle_name": "ADZO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.