Individual provider Active NPI

Gina M. Midmore, M.D.

  • Diagnostic Radiology Physician
  • Grayslake, IL
National Provider Identifier
1548484629
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C146988 Issued in CA
Practice address
1275 E Belvidere Rd
Suite 200
Grayslake, IL 60030-2082
Phone
(847) 918-1462
Fax
(847) 968-4311
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01073411A IN
Diagnostic Radiology Physician 2085R0202X 036-131270 IL
Diagnostic Radiology Physician 2085R0202X MD433697 PA
Diagnostic Radiology Physician 2085R0202X C146988 CA Primary
Diagnostic Radiology Physician 2085R0202X MD230741 OR
Diagnostic Radiology Physician 2085R0202X 60516-20 WI

Addresses

Primary practice location

1275 E Belvidere Rd
Suite 200
Grayslake, IL 60030-2082

Mailing address

PO Box 745249
Los Angeles, CA 90074-5249
Phone (800) 475-3698

Other practice location 1

930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 475-4710

Other practice location 2

3043 NE 28th St
Lincoln City, OR 97367-4518
Phone (541) 994-3661

Other practice location 3

845 SW 30th St
Corvallis, OR 97331-8629
Phone (541) 768-7700

Other practice location 4

3600 NW Samaritan Dr
Corvallis, OR 97330-5472
Phone (541) 768-5111

Other practice location 5

35 Mullins Dr Ste 2
Lebanon, OR 97355-3985
Phone (541) 451-7915

Other practice location 6

832 Elm St SW Ste 101
Albany, OR 97321-2062
Phone (541) 812-5820

Other practice location 7

5234 SW Philomath Blvd
Corvallis, OR 97333-1042
Phone (541) 768-4970

Other practice location 8

1700 Geary St SE Ste 400
Albany, OR 97322-6842
Phone (541) 812-5500

Other practice location 9

157 Spaulding Ave
Brownsville, OR 97327
Phone (541) 451-6940

Other practice location 10

505 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 451-6950

Other practice location 11

3615 NW Samaritan Dr Ste 101
Corvallis, OR 97330-3756
Phone (541) 768-5187

Other practice location 12

1046 6th Ave SW
Albany, OR 97321-1916
Phone (541) 812-4000

Other practice location 13

5234 SW Philomath Blvd Ste B
Corvallis, OR 97333-1042
Phone (541) 768-7300

Other practice location 14

525 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 258-2101

Other identifiers 1

IdentifierTypeStateIssuer
1021935800002MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gmidmore351558@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI, OR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170508002298 CA Practitioner - Diagnostic Radiology 7517031743 Reassigns benefits to 7 organizations
I20220926002185 HI Practitioner - Diagnostic Radiology 7517031743 Reassigns benefits to 3 organizations
I20260513000761 OR Practitioner - Diagnostic Radiology 7517031743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Helena HospitalGroup PAC ID 8729059878, 85 clinicians
Corvallis Radiology PCGroup PAC ID 2062300676, 54 clinicians

Practice addresses (Care Compare)

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 963-3611

1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695

1958 Seville Dr
Napa, CA 94559-4321
Phone (541) 768-5111

3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 758-5047

821 S Saint Helena Hwy
Suite 2
Saint Helena, CA 94574-2266
Phone (707) 968-9232

913 Washington St
Calistoga, CA 94515-1433

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.91 of 100Reported as group
Quality
75.49
Promoting interoperability
94
Improvement activities
40
Cost
73.96

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
84.1
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C146988CAMDDiagnostic Radiology Physician
036-131270ILMDDiagnostic Radiology Physician
01073411AINMDDiagnostic Radiology Physician
MD230741ORMDDiagnostic Radiology Physician
60516-20WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Jan 1, 2021 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
St. Helena Hospital CurrentSince Jul 16, 2023 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
John Muir Trauma Physicians Billing Service Diagnostic Radiology CurrentSince Oct 7, 2019 Accepting new patients
Solano Diagnostics Partners, a Calif Limited Partnership Diagnostic Radiology CurrentSince Sep 18, 2019 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Aug 1, 2019 Accepting new patients
Adventist Health Physicians Network CurrentSince Jan 1, 2021 Accepting new patients
St. Helena Hospital CurrentSince Jul 16, 2023 Accepting new patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Feb 5, 2020 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Corvallis Radiology PC Diagnostic Radiology Past Accepting new patients
Corvallis MRI a Joint Venture Past Accepting new patients
Central Pennsylvania MRI Center Diagnostic Radiology Past Accepting new patients
Solano Diagnostics Partners, a Calif Limited Partnership Diagnostic Radiology Past Accepting new patients
Quantum Imaging & Therapeutic Associates Inc Diagnostic Radiology Past Accepting new patients
Central Dupage Physician Group Past Accepting new patients
East Linn MRI, LLC Past Accepting new patients

Locations

913 Washington St
Calistoga, CA 94515
Phone (707) 942-0844

1101 B Gale Wilson Blvd
Ste 100
Fairfield, CA 94533
Phone (707) 646-4777

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

5730 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-1507

3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

821 Saint Helena Hwy S
Ste 2
Saint Helena, CA 94574
Phone (707) 967-7551

6 Woodland Rd
Ste 202
Saint Helena, CA 94574
Phone (707) 963-5294

1002 Nut Tree Rd
Vacaville, CA 95687

300 Hospital Dr
#1112
Vallejo, CA 94589
Phone (707) 554-4107

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

2125 Oak Grove Rd
Ste 200
Walnut Creek, CA 94598
Phone (925) 993-9440

500 Ala Moana Blvd
Ste 7421
Honolulu, HI 96813

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 53

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 53

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1548484629",
    "addresses": [
        {
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            "country_name": "United States",
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            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900745249",
            "telephone_number": "800-475-3698",
            "fax_number": "706-653-1162"
        },
        {
            "country_code": "US",
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            "address_purpose": "LOCATION",
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            "address_1": "1275 E BELVIDERE RD",
            "address_2": "SUITE 200",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302082",
            "telephone_number": "847-918-1462",
            "fax_number": "847-968-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 SW Abbey St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973654820",
            "country_code": "US",
            "telephone_number": "541-475-4710",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3043 NE 28th St",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973674518",
            "country_code": "US",
            "telephone_number": "541-994-3661",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "845 SW 30th St",
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            "postal_code": "973318629",
            "country_code": "US",
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        {
            "address_1": "3600 NW Samaritan Dr",
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            "country_code": "US",
            "telephone_number": "541-768-5111",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Mullins Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973553985",
            "country_code": "US",
            "telephone_number": "541-451-7915",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "832 Elm St SW Ste 101",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973212062",
            "country_code": "US",
            "telephone_number": "541-812-5820",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5234 SW Philomath Blvd",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973331042",
            "country_code": "US",
            "telephone_number": "541-768-4970",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Geary St SE Ste 400",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973226842",
            "country_code": "US",
            "telephone_number": "541-812-5500",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "157 Spaulding Ave",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "OR",
            "postal_code": "97327",
            "country_code": "US",
            "telephone_number": "541-451-6940",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 N Santiam Hwy",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973554363",
            "country_code": "US",
            "telephone_number": "541-451-6950",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3615 NW Samaritan Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303756",
            "country_code": "US",
            "telephone_number": "541-768-5187",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1046 6th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973211916",
            "country_code": "US",
            "telephone_number": "541-812-4000",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5234 SW Philomath Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973331042",
            "country_code": "US",
            "telephone_number": "541-768-7300",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 N Santiam Hwy",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973554363",
            "country_code": "US",
            "telephone_number": "541-258-2101",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDMORE",
        "first_name": "GINA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01073411A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-131270",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD433697",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C146988",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD230741",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "60516-20",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021935800002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmidmore351558@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "930 SW Abbey St",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973654820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

Verify at the official NPI Registry.