Individual provider Active NPI

Gina M Murray, D.O.

  • Emergency Medicine Physician
  • Glen Ellyn, IL
National Provider Identifier
1558398263
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036109477 Issued in IL
Practice address
885 Roosevelt Rd Ste 100
Glen Ellyn, IL 60137-6141
Phone
(630) 384-6200
Fax
(630) 384-6229
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 48973-021 WI
Emergency Medicine Physician 207P00000X 036109477 IL Primary

Addresses

Primary practice location

885 Roosevelt Rd Ste 100
Glen Ellyn, IL 60137-6141

Mailing address

3824 N Fremont St
#1 South
Chicago, IL 60613-3049
Phone (630) 290-2375

Other practice location 1

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 978-6200

Other identifiers 2

IdentifierTypeStateIssuer
43528700MedicaidWI
P00306274OtherWIMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20080221000366 IL Practitioner - Emergency MedicinePractitioner - Internal Medicine 0345257408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

885 Roosevelt Rd
Suite 100
Glen Ellyn, IL 60137-6141
Phone (630) 384-6200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036109477ILMDEmergency Medicine Physician
48973-021WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2023 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations (25 of 28)

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2635 Church Rd
Ste 101
Aurora, IL 60502
Phone (630) 315-6900

820 S State Route 59
Bartlett, IL 60103
Phone (630) 213-9600

820 S State Route 59
Ste A
Bartlett, IL 60103
Phone (630) 483-5930

231 S Gary Ave
Ste 100
Bloomingdale, IL 60108
Phone (630) 893-9600

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

1333 W Belmont Ave
Ste 100
Chicago, IL 60657
Phone (312) 693-2273

4732 N Lincoln Ave
Chicago, IL 60625
Phone (312) 926-0536

1135 S Delano Ct E
Ste B201
Chicago, IL 60605
Phone (312) 694-2500

4445 W Irving Park Rd
Ste 110
Chicago, IL 60641
Phone (312) 921-0417

171 N Aberdeen St
Ste 100
Chicago, IL 60607
Phone (312) 694-2273

360 Station Dr
Ste 300A
Crystal Lake, IL 60014
Phone (815) 788-7500

360 Station Dr
Crystal Lake, IL 60014
Phone (815) 477-7350

350 S Waukegan Rd
Ste 150
Deerfield, IL 60015
Phone (312) 926-3107

885 Roosevelt Rd
Ste 100
Glen Ellyn, IL 60137
Phone (630) 384-6200

2701 Patriot Blvd
Ste 110
Glenview, IL 60026
Phone (312) 694-2273

10350 Haligus Rd
Ste A
Huntley, IL 60142
Phone (815) 455-6100

525 Rockland Rd
Ste 100
Lake Bluff, IL 60044
Phone (847) 475-2273

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

2507 N Richmond Rd
Ste B
McHenry, IL 60051
Phone (815) 206-7500

21202 Owens Rd
Ste 101
Mokena, IL 60448
Phone (779) 334-0030

1001 Commerce Dr
Ste 105
Oak Brook, IL 60523

15300 West Ave
Ste 20
Orland Park, IL 60462
Phone (708) 460-5550

2900 Foxfield Rd
Ste 100
St Charles, IL 60174
Phone (630) 377-6500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 5

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 2

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1558398263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 N FREMONT ST",
            "address_2": "#1 SOUTH",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133049",
            "telephone_number": "630-290-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 ROOSEVELT RD STE 100",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376141",
            "telephone_number": "630-384-6200",
            "fax_number": "630-384-6229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Ogden Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605047222",
            "country_code": "US",
            "telephone_number": "630-978-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "48973-021",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036109477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43528700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00306274",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

Verify at the official NPI Registry.