Active NPI
Kim J Gehle, MD
- Pediatrics Physician
- Wheaton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036147489
- Practice address
- 2001 N Gary Ave Ste 100
Wheaton, IL 60187-3055 - Phone
- (630) 653-5115
- Fax
- (630) 653-4493
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036147489 | IL | Primary |
Addresses
Primary practice location
2001 N Gary Ave Ste 100
Wheaton, IL 60187-3055
Mailing address
2001 N Gary Ave Ste 100
Wheaton, IL 60187-3055
Phone (630) 653-5115
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Toledo College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 N Gary Ave
Wheaton, IL 60187-3264
Phone (630) 614-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036147489 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Pediatrics | Current | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
2001 N Gary Ave
Wheaton, IL 60187
Phone (630) 614-4100
2001 N Gary Ave
Ste 100
Wheaton, IL 60187
Phone (630) 614-4100
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
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.
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1760400592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 N GARY AVE STE 100",
"city": "WHEATON",
"state": "IL",
"postal_code": "601873055",
"telephone_number": "630-653-5115",
"fax_number": "630-653-4493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N GARY AVE STE 100",
"city": "WHEATON",
"state": "IL",
"postal_code": "601873055",
"telephone_number": "630-653-5115",
"fax_number": "630-653-4493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEHLE",
"first_name": "KIM",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036147489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.