GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
NPI 1013415603
General Practice in Berwyn, IL
About Gottlieb Community Health Services Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION (NPI 1013415603) is a healthcare organization registered as a general practice in Berwyn, Illinois and active in the NPI registry since January 2018. The organization holds 2 active CLIA laboratory certificates and lists Adenrele Kolawole, Director Billing Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gottlieb Community Health Services Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
86Medicare enrollment records show 86 clinicians reassign Medicare billing to Gottlieb Community Health Services Corporation, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 54 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 86Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D0922131
Gottlieb Community Health Services Corporation D B A Macneal Hospital · Berwyn, ILCertificate for Provider-Performed Microscopy Procedures (PPMP) 14D0699740
Gottlieb Community Health Services Corporation D B A Macneal Hospital · Berwyn, ILFrequently 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 Gottlieb Community Health Services Corporation's NPI number?
The NPI number for Gottlieb Community Health Services Corporation is 1013415603. It was assigned to this organization in the NPPES registry on January 29, 2018.
Where is Gottlieb Community Health Services Corporation located?
Gottlieb Community Health Services Corporation is located at 3249 Oak Park Ave, Berwyn, IL 60402. The listed phone number is (708) 783-3125.
What is Gottlieb Community Health Services Corporation's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Gottlieb Community Health Services Corporation enrolled in Medicare?
Yes. Gottlieb Community Health Services Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gottlieb Community Health Services Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 86 clinicians in 11 Medicare specialties reassign their Medicare billing to Gottlieb Community Health Services Corporation. A 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 the clinician's services. The largest specialties are Anesthesiology (26), Certified Registered Nurse Anesthetist (CRNA) (26) and Cardiovascular Disease (Cardiology) (8). Of these, 15 practice at this address and 54 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gottlieb Community Health Services Corporation hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Gottlieb Community Health Services Corporation accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Gottlieb Community Health Services Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gottlieb Community Health Services Corporation was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Gottlieb Community Health Services Corporation · NPI 1013415603
General Practice organization in Berwyn, Illinois. Organization record, active in the CMS NPPES registry since January 29, 2018.
## Identity
- **NPI:** 1013415603 (Entity type: Organization)
- **Enumerated:** January 29, 2018
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Adenrele Kolawole, DIRECTOR BILLING OPERATIONS
## Practice location
- **Address:** 3249 OAK PARK AVE, Berwyn, IL 60402-3429
- **Phone:** (708) 783-3125
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 86 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (26), Certified Registered Nurse Anesthetist (CRNA) (26), Cardiovascular Disease (Cardiology) (8); 15 practice at this address and 54 within 10 miles; [full list](https://npiprofile.com/npi/1013415603/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 16, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013415603) · Data from the CMS NPPES public registry.