Active NPI
Maribel Galiano-Goll, M.D.
- Anesthesiology Physician
- Algonquin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 102222-875
- Practice address
- 2413 W Algonquin Rd # 608
Algonquin, IL 60102-9402 - Phone
- (224) 333-0033
- NPI assigned
- Apr 20, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036094646 | IL | |
| Interventional Pain Medicine Physician | 208VP0014X | 036094646 | IL | |
| Anesthesiology Physician | 207L00000X | 102222-875 | WI | Primary |
Addresses
Primary practice location
2413 W Algonquin Rd # 608
Algonquin, IL 60102-9402
Mailing address
2413 W Algonquin Rd # 608
Algonquin, IL 60102-9402
Phone (224) 333-0033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036094646 | Medicaid | IL | |
| 100291632 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1555 Barrington Rd
Hoffman Estates, IL 60169-1019
Phone (847) 843-2000
1650 Moon Lake Blvd
Hoffman Estates, IL 60169-1010
Phone (800) 432-5005
2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone (773) 665-3000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.99 of 100
- Quality
- 82.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036094646 | IL | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Partners, LLC | Anesthesiology | Current | Accepting new patients |
| The Medical College of Wisconsin, Inc. | Anesthesiology | Current | Accepting new patients |
Locations
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
1555 N Barrington Rd
Ste 400
Hoffman Estates, IL 60169
Phone (847) 519-1600
1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923
10000 W Innovation Dr
Ste 300
Wauwatosa, WI 53226
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
Interoperability endpoints
- mgalianogoll841771@direct.froedtert.com
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.
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1255380184
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Anesthesiology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hoffman Estates, IL
- NPI 1376644385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1992760896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2413 W ALGONQUIN RD # 608",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601029402",
"telephone_number": "224-333-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2413 W ALGONQUIN RD # 608",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601029402",
"telephone_number": "224-333-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALIANO-GOLL",
"first_name": "MARIBEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036094646",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IL",
"license": "036094646",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "102222-875",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036094646",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100291632",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Algonquin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.