Individual provider Active NPI

Amulya Gampa, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Naperville, IL
National Provider Identifier
1407205255
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
036160016 Issued in IL
Practice address
10 Martin Ave Ste 200
Naperville, IL 60540-6535
Phone
(630) 600-0700
Fax
(630) 600-0701
NPI assigned
Jun 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125068063 IL
Cardiovascular Disease Physician 207RC0000X 2019018159 MO
Cardiovascular Disease Physician 207RC0000X 036160016 IL
Clinical Cardiac Electrophysiology Physician 207RC0001X 036160016 IL Primary

Addresses

Primary practice location

10 Martin Ave Ste 200
Naperville, IL 60540-6535

Mailing address

10 Martin Ave Ste 200
Naperville, IL 60540-6535
Phone (630) 600-0700

Other practice location 1

5841 S Maryland Ave Ste Mc6080
Chicago, IL 60637-1641
Phone (773) 702-5211

Other practice location 2

1 Barnes Jew Hosp Plz
Saint Louis, MO 63110-1003
Phone (314) 362-5000

Other practice location 3

1 Barnes Jew Hosp Plz
Saint Louis, MO 63110-1003
Phone (314) 362-5000

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
I20241003003936 IL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 9335431741 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute Gpe IncGroup PAC ID 9739697574, 51 clinicians
Elmhurst Memorial HospitalGroup PAC ID 3577458009, 82 clinicians
Edward HospitalGroup PAC ID 0042108110, 98 clinicians
Naperville Psychiatric VenturesGroup PAC ID 2163570300, 15 clinicians

Practice addresses (Care Compare)

10 Martin Ave
Suite 200
Naperville, IL 60540-6535
Phone (630) 600-0700

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 758-8000

16519 S Route 59
Suite a
Plainfield, IL 60586-2608
Phone (630) 600-0700

801 S Washington St
Naperville, IL 60540-7430
Phone (312) 355-0450

852 S W St
Naperville, IL 60540-6400
Phone (630) 603-5000

Hospital & facility affiliations

  • Edward Hospital Hospital, Naperville, IL, CCN 140231
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019018159MOMDCardiovascular Disease Physician
036160016ILMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elmhurst Memorial Hospital CurrentSince Dec 1, 2024 Accepting new patients
Midwest Cardiovascular Institute SC Cardiovascular Disease CurrentSince Sep 16, 2024 Accepting new patients
Cardiovascular Institute Gpe Inc Cardiovascular Disease CurrentSince Aug 1, 2025 Accepting new patients
Naperville Psychiatric Ventures CurrentSince Dec 1, 2024 Accepting new patients
Naperville Psychiatric Ventures CurrentSince Dec 1, 2024 Accepting new patients
Edward Hospital CurrentSince Dec 1, 2024 Accepting new patients
Edward Hospital Cardiovascular Disease CurrentSince Dec 1, 2024 Accepting new patients

Locations

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

133 E Brush Hill Rd
Ste 202
Elmhurst, IL 60126
Phone (331) 231-6200

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

852 S West St
Naperville, IL 60540
Phone (630) 305-5027

801 S Washington St
Fl 4
Naperville, IL 60540
Phone (630) 416-8500

10 Martin Ave
Ste 200
Naperville, IL 60540
Phone (630) 369-1572

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/

Organizations & group practices 8

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": "1465603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1407205255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARTIN AVE STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406535",
            "telephone_number": "630-600-0700",
            "fax_number": "630-600-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MARTIN AVE STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406535",
            "telephone_number": "630-600-0700",
            "fax_number": "630-600-0701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave Ste Mc6080",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371641",
            "country_code": "US",
            "telephone_number": "773-702-5211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Barnes Jew Hosp Plz",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101003",
            "country_code": "US",
            "telephone_number": "314-362-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Barnes Jew Hosp Plz",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101003",
            "country_code": "US",
            "telephone_number": "314-362-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMPA",
        "first_name": "AMULYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-11",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125068063",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2019018159",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036160016",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036160016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.