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MICHAEL T. GILLAM M.D.
NPI 1013092188
Emergency Medicine in Evanston, IL

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
2650 RIDGE AVE, EMERGENCY MEDICINE RM G909, EVANSTON, IL 60201(847) 570-2114(847) 570-1223 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael T. Gillam M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL T. GILLAM M.D. (NPI 1013092188) is an individual emergency medicine provider in Evanston, Illinois, licensed in Illinois (036099418) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Annandale, and is a graduate of Michigan State University College Of Human Medicine (1996).

NPPES Registry Identity

NPI1013092188
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL T. GILLAMCredential: M.D.
Location Address2650 RIDGE AVE, EMERGENCY MEDICINE RM G909Evanston, IL 60201-1718
Mailing Address2650 Ridge AveEvanston, IL 60201-1700 · (847) 570-1644 · Fax (847) 733-5315
Phone(847) 570-2114
Fax(847) 570-1223
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1996
Enumeration DateOctober 26, 2006
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1013092188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036099418✔ Licensed in VA · 0101283367
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2650 RIDGE AVE, Evanston, IL 60201
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Secondary Practice Location 1

Location 17042 Little River Tpke Ste AAnnandale, VA 22003-5973 · Phone (703) 343-7125

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael T. Gillam M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486687464
PECOS Enrollment IDI20251015003740, I20251029000129
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Gillam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Patient First Richmond Medical Group PLLC
617 mi
Family Medicine
5000 COX RD, SUITE 100
Glen Allen, VA 23060
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 263 clinicians in this Medicare group
NPI 1689603748 (804) 822-4355

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS LEE CIBULL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Cook County (847) 570-2040
LAUREN ANDERSON MD
Hospitalist
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-1027
DR. DANIEL K. WEST MD
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, DEPARTMENT OF RADIOLOGY, G507
EVANSTON, IL 60201
Cook County (847) 570-2475
JOEL BERNSTEIN M.D.
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Cook County (847) 570-1206
MATTHEW R. SHERWOOD MD
Internal Medicine
2650 RIDGE AVE, DIVISION OF INTERNAL MEDICINE RM 4324
EVANSTON, IL 60201
Cook County (847) 570-1010
MARLENE ANGELICO CNP
Nurse Practitioner (Acute Care)
2650 RIDGE AVE, EMERGENCY MEDICINE, RM G903C
EVANSTON, IL 60201
Cook County (847) 570-1355
MINA KEROLOS MD
Hospitalist
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-1010
DR. SADIE ANNE LAPONSIE M.D.
Pediatrics
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Gillam's NPI number?

The NPI number for Michael Gillam is 1013092188. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Michael Gillam located?

Michael Gillam practices at 2650 Ridge Ave Emergency Medicine Rm G909, Evanston, IL 60201. The listed phone number is (847) 570-2114.

What is Michael Gillam's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Gillam enrolled in Medicare?

Yes. Michael Gillam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michael Gillam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Gillam reassigns Medicare benefits to Patient First Richmond Medical Group PLLC (Glen Allen, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Gillam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Gillam was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.