Katheryn Ellen Gambetta, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

036104852 Issued in IL

Practice address

225 E Chicago Ave # 21
Chicago, IL 60611-2991

Phone

(312) 227-4100

Fax

(312) 227-9640

NPI assigned

Nov 7, 2007

Last updated

Jul 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Pediatric Medicine

Education

Indiana University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lurie Children's Medical Group Inc.Group PAC ID 4789597279, 142 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lurie Children's Medical Group Inc

  dba LCMG Inc

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1518064716
  Medicare reassignment Care Compare group NPD
• Central Dupage Physician Group

  dba Northwestern Medicine Regional Medical Group

  • Family Medicine Physician
  • Carol Stream, IL
  • NPI 1033149844
  NPD (past)

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1609056654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE # 21",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "312-227-4100",
            "fax_number": "312-227-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE # 21",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "312-227-4100",
            "fax_number": "312-227-9640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 N Winfield Rd",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901379",
            "country_code": "US",
            "telephone_number": "312-227-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123801",
            "country_code": "US",
            "telephone_number": "312-227-4100",
            "fax_number": "312-227-9640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 W Central Rd Ste 6400",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600052378",
            "country_code": "US",
            "telephone_number": "312-227-4100",
            "fax_number": "312-227-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 E Huron St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112908",
            "country_code": "US",
            "telephone_number": "312-227-4100",
            "fax_number": "312-227-9640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 E Superior St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112914",
            "country_code": "US",
            "telephone_number": "312-227-4100",
            "fax_number": "312-227-9640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 Enterprise Dr",
            "address_purpose": "LOCATION",
            "city": "Westchester",
            "state": "IL",
            "postal_code": "601545802",
            "country_code": "US",
            "telephone_number": "312-227-4100",
            "fax_number": "312-227-9640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3722 Touhy Ave",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600763941",
            "country_code": "US",
            "telephone_number": "312-227-4100",
            "fax_number": "312-227-9640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1895 Arbor Glen Blvd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601953114",
            "country_code": "US",
            "telephone_number": "312-227-4100",
            "fax_number": "312-227-9640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2515 N Clark St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606142730",
            "country_code": "US",
            "telephone_number": "312-227-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 N Westmoreland Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600451688",
            "country_code": "US",
            "telephone_number": "312-227-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1131 Techny Rd",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600625503",
            "country_code": "US",
            "telephone_number": "312-227-4100",
            "fax_number": "312-227-9640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1870 Silver Cross Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604518646",
            "country_code": "US",
            "telephone_number": "312-227-4100",
            "fax_number": "312-227-9640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10350 Haligus Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601429526",
            "country_code": "US",
            "telephone_number": "312-227-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1475 E Belvidere Rd, Pavilion C",
            "address_2": "Suite 285",
            "address_purpose": "LOCATION",
            "city": "Grayslake",
            "state": "IL",
            "postal_code": "60030",
            "country_code": "US",
            "telephone_number": "312-227-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBETTA",
        "first_name": "KATHERYN",
        "middle_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IN",
            "license": "99028739A",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IL",
            "license": "036104852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celina Gama
• Gama, LLC
• Anne Gamache
• Mark Rizo Gamalinda, DDS
• Gayle Ann Gamauf McCoy, LCSW
• Charlotte Gambla
• Jennifer Y Gambla
• Gail L Gamble, M.D.
• Shallahda V Gamble, LPN, LSW
• Anthony Gamblin, MPT

• Pediatric Cardiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Cardiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.

Verify at the official NPI Registry.