Gayle F Bereskin, DO

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

036148880 Issued in IL

Practice address

1875 Dempster St Ste 180
Park Ridge, IL 60068-1144

Phone

(844) 725-5238

NPI assigned

Jun 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

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

Hospice/Palliative Care

Education

Midwestern University, Chicago College of Osteopathic Med, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Natarajan Medical Group of Illinois PCGroup PAC ID 8921259748, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gaylefbereskinpllc.gaylebereskin@159592.advancedmd-direct.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.

• Natarajan Medical Group of Illinois, PC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Rosemont, IL
  • NPI 1639430861
  Medicare reassignment Care Compare group NPD
• Agape Palliative Services, LLC

  • Home Health Agency
  • Greenwood Village, CO
  • NPI 1588973895
  NPD (past)
• Artemis Healthcare Services LLC

  • Community Based Hospice Care Agency
  • Greenwood Village, CO
  • NPI 1306831490

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972549210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST STE 180",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681144",
            "telephone_number": "844-725-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERESKIN",
        "first_name": "GAYLE",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-03-07",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "036148880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10401404",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01336551",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1875 Dempster St Ste 180",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gbereskin242579@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1875 Dempster St Ste 180",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erik Roy Benson, MSW, L.C.S.W.
• Christopher George Bentsen, MD
• Muriel J Benz
• Lukus Antonio Berber, MD
• Philip J Berent, M.D.
• Margaret Ann Berger, LCSW
• Christopher J Bergin, MD
• Luz B Bernal
• Keith Berndtson, MD
• Bruce S Bernheim, MD

• Hospice and Palliative Medicine (Family Medicine) Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.