Individual provider Active NPI

Gamilah N. Pierre, M.D.

  • Obstetrics & Gynecology Physician
  • New Lenox, IL
National Provider Identifier
1750398095
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
03610705 Issued in IL
Practice address
1890 Silver Cross Blvd
Suite 210
New Lenox, IL 60451-9524
Phone
(815) 463-3000
Fax
(815) 463-3013
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 36107057 IL
Obstetrics & Gynecology Physician 207V00000X 03610705 IL Primary

Addresses

Primary practice location

1890 Silver Cross Blvd
Suite 210
New Lenox, IL 60451-9524

Mailing address

1890 Silver Cross Blvd Ste 210
New Lenox, IL 60451-9626
Phone (815) 463-3000

Other identifiers 1

IdentifierTypeStateIssuer
036107057MedicaidIL

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
I20060823000442 IL Practitioner - Obstetrics/Gynecology 2769485259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Obstetrics and Womens HealthGroup PAC ID 2365402641, 11 clinicians

Practice addresses (Care Compare)

1890 Silver Cross Blvd
Suite 210
New Lenox, IL 60451-9626
Phone (815) 463-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03610705ILMDObstetrics & Gynecology Physician
36107057ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Service Systems, Inc Current Accepting new patients
Partners in Obstetrics & Womens Health Obstetrics & Gynecology CurrentSince Sep 1, 2004 Accepting new patients

Locations

1890 Silver Cross Blvd
Ste 210
New Lenox, IL 60451
Phone (815) 463-3000

1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEFBDA

Organizations & group practices 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1750398095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 210",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519626",
            "telephone_number": "815-463-3000",
            "fax_number": "815-463-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "SUITE 210",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519524",
            "telephone_number": "815-463-3000",
            "fax_number": "815-463-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "GAMILAH",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "36107057",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "03610705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107057",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.