Madhu S.R. Gorla, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036-105622 Issued in IL

Practice address

2640 Patriot Blvd
Suite 100
Glenview, IL 60026-8075

Phone

(847) 510-6000

Fax

(847) 832-0905

NPI assigned

Jul 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Ophthalmology

Education

Boston University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chicago Glaucoma Consultants LTDGroup PAC ID 6608871678, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgorla@cgc.intellechartdirect.net
• Direct secure messaging: mgorla4300@direct.rush.rush-health.com

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.

• Chicago Glaucoma Consultants LTD

  • Ophthalmology Physician
  • Glenview, IL
  • NPI 1386661379
  Medicare reassignment Care Compare group NPD
• Eye Center Physicians, LTD.

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1992715650
  Medicare reassignment NPD
• The Chicago Lighthouse for People Who Are Blind Or Visually Impaired

  • Low Vision Rehabilitation Optometrist
  • Chicago, IL
  • NPI 1043326309
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Endeavor Health Clinical Operations

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1912930322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 PATRIOT BLVD",
            "address_2": "SUITE 100",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268075",
            "telephone_number": "847-510-6000",
            "fax_number": "847-832-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 PATRIOT BLVD",
            "address_2": "SUITE 100",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268075",
            "telephone_number": "847-510-6000",
            "fax_number": "847-832-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORLA",
        "first_name": "MADHU",
        "middle_name": "S.R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-105622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna R. Gordon, APN-CNP
• Matthew Gordon I, PTA
• Robert William Gordon, DDS PC
• Mark Gore
• Elaine Gorelik, MD
• Suchitra Gosavi
• Mary Jane Goslin, P.T.A.
• Sydney Leigh Goss
• James R Gosse, DPM
• Sonal Gothi, PHARM.D.

• Ophthalmology Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.

Verify at the official NPI Registry.