Individual provider Active NPI

Harneet Gahley, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Rockford, IL
National Provider Identifier
1710368592
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
036-145509 Issued in IL
Practice address
3505 N. Bell School Rd.
Rockford, IL 61114
Phone
(779) 696-0300
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036145509 IL
Family Medicine Physician 207Q00000X 036145509 IL
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 036-145509 IL Primary

Addresses

Primary practice location

3505 N. Bell School Rd.
Rockford, IL 61114

Mailing address

PO Box 78866
Milwaukee, WI 53278-8866
Phone (779) 696-7150

Other practice location 1

102 S Hennepin Ave
Dixon, IL 61021-3013
Phone (815) 285-8520

Other identifiers 1

IdentifierTypeStateIssuer
036145509MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hgahley941968@direct.uwhealth.org

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
I20180905003284 IL Practitioner - Hospice/Palliative CarePractitioner - Family Practice 8224338652 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedishamerican HospitalGroup PAC ID 5799698346, 386 clinicians

Practice addresses (Care Compare)

3505 N Bell School Rd
Rockford, IL 61114-6624
Phone (779) 696-0300

3535 N Bell School Rd
Regional Cancer Center
Rockford, IL 61114-6624
Phone (779) 696-9400

6824 Newburg Rd
Sa Valley
Rockford, IL 61108-4330
Phone (779) 696-7610

815 Marchesano Dr
Rockford, IL 61102-3521
Phone (779) 696-5950

Hospital & facility affiliations

  • Serenity Hospice and Home Hospice, Oregon, IL, CCN 141579
  • Uw Health Hospital, Rockford, IL, CCN 140228

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as group
Quality
83.2
Promoting interoperability
77
Improvement activities
40
Cost
71.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036145509ILMDFamily Medicine Physician
036-145509ILMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Trustees of the University of Illinois Family Medicine CurrentSince Nov 14, 2019 Accepting new patients
Swedishamerican Hospital Family Medicine Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Nov 14, 2019 Accepting new patients
Swedishamerican Hospital CurrentSince Sep 3, 2019 Accepting new patients
Swedishamerican Hospital CurrentSince Sep 3, 2019 Accepting new patients
Katherine Shaw Bethea Hospital CurrentSince Jul 18, 2018 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients

Locations

1220 S Wood St
Chicago, IL 60608
Phone (312) 413-1261

102 S Hennepin Ave
Dixon, IL 61021
Phone (815) 285-8520

403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

3505 N Bell School Rd
Rockford, IL 61114
Phone (779) 696-0300

1221 E State St
Rockford, IL 61104
Phone (815) 972-1000

Interoperability endpoints

  • Direct secure messaging: kpanther30126@direct.uwhealth.org
  • Direct secure messaging: hgahley941968@direct.uwhealth.org

Organizations & group practices 7

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1710368592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78866",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532788866",
            "telephone_number": "779-696-7150",
            "fax_number": "815-285-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 N. BELL SCHOOL RD.",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61114",
            "telephone_number": "779-696-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 S Hennepin Ave",
            "address_purpose": "LOCATION",
            "city": "Dixon",
            "state": "IL",
            "postal_code": "610213013",
            "country_code": "US",
            "telephone_number": "815-285-8520",
            "fax_number": "815-285-8903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAHLEY",
        "first_name": "HARNEET",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036145509",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036145509",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "036-145509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036145509",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hgahley941968@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "3505 N. Bell School Rd.",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "61114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.