Devon Collins Gimbel, MD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

036.130826 Issued in IL

Practice address

28100 N Ashley Cir
Ste 106
Libertyville, IL 60048-9478

Phone

(847) 996-1030

NPI assigned

Sep 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00197

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.

• Algonquin Family Chiropractic LTD.

  • Chiropractor
  • Algonquin, IL
  • NPI 1336696889
  NPD
• Jordan C. Carqueville, MD LLC

  • Dermatology Physician
  • Chicago, IL
  • NPI 1710531330
  NPD
• M D Aesthetics and Dermatology LLC

  • Dermatology Physician
  • Chicago, IL
  • NPI 1437678133
  NPD (past)
• Oak Dermatology LLC

  • MOHS-Micrographic Surgery Physician
  • Itasca, IL
  • NPI 1487168258
  NPD (past)

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1558519454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28100 N ASHLEY CIR",
            "address_2": "STE 106",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489478",
            "telephone_number": "847-996-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28100 N ASHLEY CIR",
            "address_2": "STE 106",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489478",
            "telephone_number": "847-996-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMBEL",
        "first_name": "DEVON",
        "middle_name": "COLLINS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "MA",
            "license": "246366",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "WI",
            "license": "61611-20",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "IL",
            "license": "036.130826",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "IN",
            "license": "01073424A",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "IL",
            "license": "036.130826",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "L-236414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Giebel, BA
• Martyna Gil
• Leonard Gilbert, RN
• Stewart R Giles, D.C.
• Bret B Gilsdorf, D.D.S.
• Carly Jean Girard, AU.D.
• Christopher Bernard Girardo
• Mina Girbes, MD
• Glencor Neuromonitoring LLC
• Claudia Glenn, PT

• Anatomic Pathology Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Anatomic Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.

Verify at the official NPI Registry.