Individual provider Active NPI

Sheillah C Gentile, M.D.

  • Family Medicine Physician
  • Dyer, IN
National Provider Identifier
1528118510
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01050311A Issued in IN
Practice address
1001 Main St
Suite 2E
Dyer, IN 46311-1234
Phone
(219) 865-9160
Fax
(219) 865-9251
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01050311A IN Primary

Addresses

Primary practice location

1001 Main St
Suite 2E
Dyer, IN 46311-1234

Mailing address

1001 Main St
Suite 2E
Dyer, IN 46311-1234
Phone (219) 865-9160

Other identifiers 2

IdentifierTypeStateIssuer
01050311AOtherINSTATE LISCENSE
90001143OtherILBC BS OF IL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040818001187 IN Practitioner - Family PracticePractitioner - General PracticePractitioner - Preventive Medicine 6406829241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice, Preventive Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

9104 Columbia Ave
Munster, IN 46321-2907
Phone (219) 836-4473

9120 Columbia Ave
Munster, IN 46321-2907
Phone (219) 703-5301

9122 Columbia Ave
Munster, IN 46321-2907
Phone (219) 836-3366

9124 A Columbia Ave
Munster, IN 46321-2907
Phone (219) 440-7025

9124 Columbia Ave
Suite B
Munster, IN 46321-2907
Phone (219) 836-0445

9126 Columbia Ave
Munster, IN 46321-2907
Phone (219) 703-2408

9130 Columbia Ave
Munster, IN 46321-2932

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc Family Medicine CurrentSince Jan 1, 2013 Accepting new patients

Locations

10607 Randolph St
Ste C
Crown Point, IN 46307
Phone (219) 226-1895

1001 Main St
Fl 2E
Dyer, IN 46311
Phone (219) 838-1100

1001 Main St
Fl 3
Dyer, IN 46311
Phone (219) 440-5334

8731 Indianapolis Blvd
Highland, IN 46322
Phone (219) 836-3344

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9122 Columbia Ave
Munster, IN 46321
Phone (219) 836-2000

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

Interoperability endpoints

  • Direct secure messaging: sgentile7097@ssdirect.comhs.org

Organizations & group practices 1

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 5

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1528118510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST",
            "address_2": "SUITE 2E",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111234",
            "telephone_number": "219-865-9160",
            "fax_number": "219-865-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST",
            "address_2": "SUITE 2E",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111234",
            "telephone_number": "219-865-9160",
            "fax_number": "219-865-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "SHEILLAH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01050311A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENSE",
            "identifier": "01050311A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF IL",
            "identifier": "90001143",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.