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: July 26, 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
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

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, and ordering and referring status from the CMS PECOS system.

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.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, DEPARTMENT OF RADIOLOGY, G507
EVANSTON, IL 60201
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Internal Medicine
2650 RIDGE AVE, DIVISION OF INTERNAL MEDICINE RM 4324
EVANSTON, IL 60201
Nurse Practitioner (Acute Care)
2650 RIDGE AVE, EMERGENCY MEDICINE, RM G903C
EVANSTON, IL 60201
Pediatrics
2650 RIDGE AVE
EVANSTON, IL 60201
Obstetrics & Gynecology
2650 RIDGE AVE
EVANSTON, IL 60201
Nurse Practitioner
2650 RIDGE AVE
EVANSTON, IL 60201

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.

When was this NPI record last updated?

The NPPES record for Michael Gillam was last updated on October 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.