GUNDERSEN LUTHERAN MEDICAL CENTER INC
NPI 1144947805
Clinic/Center in Libertyville, IL
About Gundersen Lutheran Medical Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUNDERSEN LUTHERAN MEDICAL CENTER INC (NPI 1144947805) is a healthcare organization registered as a clinic/center in Libertyville, Illinois and active in the NPI registry since October 2022. The organization lists Kari B Adank, Vp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gundersen Lutheran Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Gundersen Lutheran Medical Center Inc, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Gundersen Lutheran Medical Center Inc's NPI number?
The NPI number for Gundersen Lutheran Medical Center Inc is 1144947805. It was assigned to this organization in the NPPES registry on October 24, 2022. The provider is also known as Milwaukee Radiologists Ltd Illinois Site.
Where is Gundersen Lutheran Medical Center Inc located?
Gundersen Lutheran Medical Center Inc is located at 14780 Creekside Path, Libertyville, IL 60048. The listed phone number is (608) 782-7300.
What is Gundersen Lutheran Medical Center Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Gundersen Lutheran Medical Center Inc enrolled in Medicare?
Yes. Gundersen Lutheran Medical Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gundersen Lutheran Medical Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Gundersen Lutheran Medical Center Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gundersen Lutheran Medical Center Inc was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Gundersen Lutheran Medical Center Inc · NPI 1144947805
Clinic/Center organization in Libertyville, Illinois. Organization record, active in the CMS NPPES registry since October 24, 2022.
## Identity
- **NPI:** 1144947805 (Entity type: Organization)
- **Enumerated:** October 24, 2022
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** Milwaukee Radiologists Ltd Illinois Site (Other Name)
- **Organization subpart:** Yes (part of Gundersen Lutheran Medical Center Inc)
- **Authorized official:** Kari Adank, VP
## Practice location
- **Address:** 14780 CREEKSIDE PATH, Libertyville, IL 60048-1107
- **Phone:** (608) 782-7300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Diagnostic Radiology) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1144947805) · Data from the CMS NPPES public registry.