Individual provider Active NPI

Shamaila B Gorsi, M.D.

  • Internal Medicine Physician
  • Kewanee, IL
National Provider Identifier
1427338409
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125060709 Issued in IL
Practice address
1051 W South St
Kewanee, IL 61443-8354
Phone
(309) 852-7840
NPI assigned
Aug 23, 2011
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A173684 CA
Hospitalist Physician 208M00000X A173684 CA
Internal Medicine Physician 207R00000X 125060709 IL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160310002216 IL Practitioner - HospitalistPractitioner - Internal Medicine 7214233618 Reassigns benefits to 5 organizations
I20240222002621 CA Practitioner - Internal Medicine 7214233618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A173684CAMDInternal Medicine Physician
125060709ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint James Hospital CurrentSince Mar 6, 2024 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince May 1, 2025 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince May 1, 2025 Accepting new patients
Saint James Hospital CurrentSince Mar 6, 2024 Accepting new patients
Carle West Physician Group Inc CurrentSince Dec 27, 2022 Accepting new patients
Osf Healthcare System CurrentSince Jun 18, 2016 Accepting new patients
Gorsi Physicians Group Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Sutter Valley Medical Foundation Internal Medicine CurrentSince Jan 8, 2024 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Osf Healthcare System CurrentSince Jun 18, 2016 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 8, 2024 Accepting new patients
Saint James Hospital Current Accepting new patients
Osf Healthcare System Current Accepting new patients
Osf Healthcare System Current Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Oct 1, 2016 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

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

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

124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850

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

2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

Interoperability endpoints

  • Direct secure messaging: sgorsi676370@hisp.ehr.sutterhealth.org
  • Direct secure messaging: sgorsimd359585@carlehiedirect.net

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 4

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": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1427338409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 W SOUTH ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614438354",
            "telephone_number": "309-852-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W SOUTH ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614438354",
            "telephone_number": "309-852-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORSI",
        "first_name": "SHAMAILA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A173684",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A173684",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125060709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kewanee, IL

Sources for this page

Verify at the official NPI Registry.