Active NPI
Gregory R Gambla, DO
- Gastroenterology Physician
- Elgin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036098608
- Practice address
- 745 Fletcher Dr
Ste 202
Elgin, IL 60123-4747 - Phone
- (847) 888-1300
- Fax
- (847) 888-1341
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036098608 | IL | Primary |
Addresses
Primary practice location
745 Fletcher Dr
Ste 202
Elgin, IL 60123-4747
Mailing address
39W357 Baker Dr
Geneva, IL 60134-6114
Phone (630) 208-9848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036098608 | Medicaid | IL |
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
- Gastroenterology
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
745 Fletcher Dr
Suite 202
Elgin, IL 60123-4749
Phone (847) 888-1300
Hospital & facility affiliations
- Advocate Sherman Hospital
- Saint Joseph Hospital-Elgin
- Northwestern Medicine Central Dupage Hospital
- Northwestern Medicine McHenry
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.21 of 100
- Quality
- 67.65
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 80.55
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 143 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 115 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036098608 | IL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elgin Gastroenterology SC | Gastroenterology | Current | Accepting new patients |
| Elgin Gastroenterology Endoscopy Center LLC | Current | Accepting new patients | |
| Illinois Gastroenterology Group, LLC | Gastroenterology | Current | Accepting new patients |
| Northwest Gastroenterologists SC | Current | Accepting new patients | |
| Urvish K Shah, MD PC | Gastroenterology | Past | Accepting new patients |
Locations
4900 S State Route 31
Ste 111
Crystal Lake, IL 60012
Phone (847) 289-9146
1425 N McLean Blvd
Ste 600
Elgin, IL 60123
745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362
912 Northwest Hwy
Ste 104
Fox River Grv, IL 60021
Phone (847) 516-4400
1555 N Barrington Rd
Ste 400
Hoffman Estates, IL 60169
Phone (847) 519-1600
165 N Lakewood Rd
Ste D
Lake in the Hills, IL 60156
2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246
2000 McDonald Rd
Ste 260
South Elgin, IL 60177
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1316277817
-
- Ambulatory Surgical Clinic/Center
- Elgin, IL
- NPI 1992875454
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1932291101
-
- Specialist
- Arlington Heights, IL
- NPI 1801886221
-
- Gastroenterology Physician
- Lansing, MI
- NPI 1770623183
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1922846351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1801832167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39W357 BAKER DR",
"city": "GENEVA",
"state": "IL",
"postal_code": "601346114",
"telephone_number": "630-208-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 FLETCHER DR",
"address_2": "STE 202",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234747",
"telephone_number": "847-888-1300",
"fax_number": "847-888-1341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBLA",
"first_name": "GREGORY",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036098608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036098608",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.