Individual provider Active NPI

Marsha Elaine Gorens, M.D.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1902823347
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036068789 Issued in IL
Practice address
300 S Ashland Ave
Ste 502
Chicago, IL 60607-2712
Phone
(312) 421-0600
Fax
(312) 421-0660
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036068789 IL Primary

Addresses

Primary practice location

300 S Ashland Ave
Ste 502
Chicago, IL 60607-2712

Mailing address

300 S Ashland Ave
Ste 502
Chicago, IL 60607-2712
Phone (312) 421-0600

Other identifiers 1

IdentifierTypeStateIssuer
036068789MedicaidIL

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
I20120301000054 IL Practitioner - Obstetrics/Gynecology 5698933141 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 S Ashland Ave
Suite 502
Chicago, IL 60607-2712
Phone (312) 421-0600

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119
  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marsha E. Gorens, M.D. Obstetrics & Gynecology PastSince Apr 6, 2000 Accepting new patients
Female Healthcare Associates LTD Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

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

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 5

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1902823347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S ASHLAND AVE",
            "address_2": "STE 502",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072712",
            "telephone_number": "312-421-0600",
            "fax_number": "312-421-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S ASHLAND AVE",
            "address_2": "STE 502",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072712",
            "telephone_number": "312-421-0600",
            "fax_number": "312-421-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORENS",
        "first_name": "MARSHA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036068789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068789",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.