Shamaila B Gorsi, M.D.
Individual provider Active NPI Internal Medicine Physician · Kewanee, IL
NPI 1427338409 · NPPES record last updated Apr 21, 2025
Key facts
- NPI
- 1427338409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 125060709 (IL)
- Practice address
- 1051 W South St
Kewanee, IL 61443-8354 - Phone
- (309) 852-7840
- NPI assigned
- Aug 23, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osf Multi-Specialty Group
Galen Inpatient Physicians PC
Practice addresses (Care Compare)
1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 734-3141
1051 W S St
Kewanee, IL 61443-8354
Phone (309) 852-7500
3315 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-1000
3333 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-3161
3375 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 676-0766
5111 N Glen Park Place Rd
Peoria, IL 61614-4675
Phone (309) 683-5700
5114 N Glen Park Place Rd
Peoria, IL 61614-4686
Phone (309) 683-8156
726 4TH St
Marysville, CA 95901-5656
Phone (530) 749-4300
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- St Mary Medical Center
- Osf Holy Family Medical Center
- Osf Saint Luke Medical Center
- Saint Francis Medical Center
- Adventist Health and Rideout
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160310002216 | IL | Practitioner - Hospitalist |
7214233618 | Reassigns benefits to 5 organizations |
| I20240222002621 | CA | Practitioner - Internal Medicine | 7214233618 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A173684 | CA | MD | Internal Medicine Physician |
| 125060709 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint James Hospital | Current | Accepting new patients | |
| Saint James Hospital | Current |
Accepting new patients | |
| Galen Inpatient Physicians PC | Hospitalist | Current |
Accepting new patients |
| Osf Multi-Specialty Group | Internal Medicine | Current |
Accepting new patients |
| Carle West Physician Group Inc | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Healthcare System | Current |
Accepting new patients | |
| Sutter Valley Medical Foundation | Current |
Accepting new patients | |
| Saint James Hospital | Current |
Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Hospitalist | Current |
Accepting new patients |
| Osf Healthcare System | Current |
Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Gorsi Physicians Group | Current | Accepting new patients | |
| Galen Inpatient Physicians, PC | Hospitalist | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Internal Medicine | Current |
Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
726 4th St
Marysville, CA 95901
Phone (530) 491-9491
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141
5111 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 683-5700
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850
2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
Interoperability endpoints
- sgorsi676370@hisp.ehr.sutterhealth.org
- sgorsimd359585@carlehiedirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A173684 | CA | |
| Hospitalist Physician | 208M00000X | A173684 | CA | |
| Internal Medicine Physician | 207R00000X | 125060709 | IL | Yes |
Addresses
Primary practice location
1051 W South St
Kewanee, IL 61443-8354
Mailing address
1051 W South St
Kewanee, IL 61443-8354
Phone (309) 852-7840
Other providers in Kewanee, IL
- Mary Fuller
- Heather Gainey
- Philip Gambon
- Dennis J Gerleman
- Mary Kathleen Gordon
- Brian D Grondin
- Heather Gustafson
- Hammond Henry Dist Hospital
- Riley Hansen
- Nicole Lynn Harmon
All providers in Kewanee, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.