Active NPI
Ling Gao
- Molecular Genetic Pathology (Pathology) Physician
- Burr Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Molecular Genetic Pathology (Pathology) Physician
- License
- 40852
- Practice address
- 8238 S Madison St
Burr Ridge, IL 60527-5811 - Phone
- (630) 828-2286
- NPI assigned
- May 20, 2013
- 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 |
|---|---|---|---|---|
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | 40852 | IA | Primary |
Addresses
Primary practice location
8238 S Madison St
Burr Ridge, IL 60527-5811
Mailing address
8238 S Madison St
Burr Ridge, IL 60527-5811
Phone (630) 828-2286
Other practice location 1
200 Hawkins Dr
UIHC, Pathology
Iowa City, IA 52242-1009
Phone (319) 384-8054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01644387 | Other | IL | RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40852 | IA | MD | Molecular Genetic Pathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Pathologist Services, LLC | Current | Accepting new patients | |
| Gopath Pathology Associates, SC | Current | Accepting new patients | |
| Medical Diagnostic Laboratories,LLC | Current | Accepting new patients | |
| Wellness Way Burr Ridge LLC | Past | Accepting new patients |
Locations
2222 53rd Ave
Bettendorf, IA 52722
Phone (319) 383-2686
1359 Barclay Blvd
Buffalo Grove, IL 60089
1000 Corporate Grove Dr
Buffalo Grove, IL 60089
Phone (224) 588-9940
1351 Barclay Blvd
Buffalo Grove, IL 60089
Phone (224) 588-9940
8238 S Madison St
Burr Ridge, IL 60527
Phone (630) 560-0536
5666 E State St
Rockford, IL 61108
Phone (815) 226-2000
Organizations & group practices 4
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Buffalo Grove, IL
- NPI 1700152311
-
- Clinical Pathology/Laboratory Medicine Physician
- Rockford, IL
- NPI 1720218415
-
- Clinical Medical Laboratory
- Burr Ridge, IL
- NPI 1659088185
-
- Chiropractor
- Burr Ridge, IL
- NPI 1801458476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1457797300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8238 S MADISON ST",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605275811",
"telephone_number": "630-828-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8238 S MADISON ST",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605275811",
"telephone_number": "630-828-2286"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr",
"address_2": "UIHC, Pathology",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-384-8054",
"fax_number": "319-467-5193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAO",
"first_name": "LING",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-20",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0007X",
"taxonomy_group": "",
"desc": "Pathology, Molecular Genetic Pathology",
"state": "IA",
"license": "40852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P01644387",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.