Active NPI
Gina M. Midmore, M.D.
- Diagnostic Radiology Physician
- Grayslake, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- C146988
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021935800002 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gmidmore351558@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, HI, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Adventist Health St Helena
- Good Samaritan Regional Medical Center
- Adventist Health Clearlake
- Samaritan Pacific Community Hospital
- Samaritan Albany General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.91 of 100
- Quality
- 75.49
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 73.96
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.67 of 100
- Quality
- 84.1
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C146988 | CA | MD | Diagnostic Radiology Physician |
| 036-131270 | IL | MD | Diagnostic Radiology Physician |
| 01073411A | IN | MD | Diagnostic Radiology Physician |
| MD230741 | OR | MD | Diagnostic Radiology Physician |
| 60516-20 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Physicians Network | Current | 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 | Current | Accepting new patients | |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| John Muir Trauma Physicians Billing Service | Diagnostic Radiology | Current | Accepting new patients |
| Solano Diagnostics Partners, a Calif Limited Partnership | Diagnostic Radiology | Current | Accepting new patients |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| St. Helena Hospital | Current | Accepting new patients | |
| Magnetic Imaging Affiliates, LLC | Diagnostic Radiology | Current | 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.
-
- Multi-Specialty Clinic/Center
- Hanford, CA
- NPI 1063718583
-
- General Acute Care Hospital
- Saint Helena, CA
- NPI 1720078082
-
- Diagnostic Radiology Physician
- Honolulu, HI
- NPI 1134681067
-
- Diagnostic Radiology Physician
- Walnut Creek, CA
- NPI 1356597637
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
- Diagnostic Radiology Physician
- Fairfield, CA
- NPI 1811940661
-
- Physical Therapy Clinic/Center
- Paradise, CA
- NPI 1134092190
-
- Cardiovascular Disease Physician
- Saint Helena, CA
- NPI 1689971889
-
- Diagnostic Radiology Physician
- Berkeley, CA
- NPI 1871749754
Hospital & facility affiliations 53
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
-
- General Acute Care Hospital
- Albany, OR
- NPI 1154372340
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albany, OR
- NPI 1326755158
Hospital
-
- Endocrinology, Diabetes & Metabolism Physician
- Albany, OR
- NPI 1346620408
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1548484629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 745249",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900745249",
"telephone_number": "800-475-3698",
"fax_number": "706-653-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"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",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973318629",
"country_code": "US",
"telephone_number": "541-768-7700",
"fax_number": "706-653-1162",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 NW Samaritan Dr",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973305472",
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.