Individual provider Active NPI

Linna L Gali, MD

  • MOHS-Micrographic Surgery Physician
  • Lisle, IL
National Provider Identifier
1619438637
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
036.181004 Issued in IL
Practice address
2455 Corporate West Dr Ste 200
Lisle, IL 60532-3622
Phone
(312) 947-6647
NPI assigned
Mar 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036.181004 IL
MOHS-Micrographic Surgery Physician 207ND0101X 036.181004 IL Primary

Addresses

Primary practice location

2455 Corporate West Dr Ste 200
Lisle, IL 60532-3622

Mailing address

2455 Corporate West Dr Ste 200
Lisle, IL 60532-3622
Phone (312) 947-6647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240703001762 MI Practitioner - Dermatology 1456694827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

3031 W Grand Blvd
Detroit, MI 48202-3046
Phone (313) 916-2600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
87.7
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision45
Removal of tissue1-10
Removal of skin lesions169
Removal of skin cancer404
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4351046431MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Health System Dermatology CurrentSince Jul 11, 2024 Accepting new patients
Henry Ford Health System CurrentSince Jul 11, 2024 Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients

Locations

3031 W Grand Blvd
Fl 8
Detroit, MI 48202
Phone (313) 916-2171

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

3031 W Grand Blvd
Detroit, MI 48202
Phone (313) 871-3751

39450 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 344-0710

6530 Farmington Rd
West Bloomfield, MI 48322
Phone (248) 451-6010

Interoperability endpoints

  • Direct secure messaging: lguan654013@direct.hfhs.org
  • Direct secure messaging: linna.gali.1@18430.direct.athenahealth.com
  • Direct secure messaging: linna.guan.1@18430.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1619438637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 CORPORATE WEST DR STE 200",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323622",
            "telephone_number": "312-947-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 CORPORATE WEST DR STE 200",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323622",
            "telephone_number": "312-947-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALI",
        "first_name": "LINNA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.181004",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036.181004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

Verify at the official NPI Registry.