PAUL GILBERT MD
NPI 1154343358
Emergency Medicine in Chicago, IL
About Paul Gilbert Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL GILBERT MD (NPI 1154343358) is an individual emergency medicine provider in Chicago, Illinois and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Accepted Insurance
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
Paul Gilbert Md 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.
Medicare Billing Reassignments
8Medicare enrollment records show Paul Gilbert reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Camp Verde, AZ 86322
- Reassigned Medicare billing, Texas enrollment
- 599 clinicians in this Medicare group
Prescott, AZ 86301
- Reassigned Medicare billing, Arizona enrollment
- 123 clinicians in this Medicare group
Mesa, AZ 85206
- Reassigned Medicare billing, Arizona enrollment
- 289 clinicians in this Medicare group
Tucson, AZ 85746
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Ton Sells Hospital
- 349 clinicians in this Medicare group
Eloy, AZ 85131
- Reassigned Medicare billing, Arizona enrollment
- 70 clinicians in this Medicare group
Maricopa, AZ 85139
- Reassigned Medicare billing, Arizona enrollment
- 159 clinicians in this Medicare group
Bullhead City, AZ 86442
- Reassigned Medicare billing, Arizona enrollment
- 147 clinicians in this Medicare group
Yuma, AZ 85365
- Reassigned Medicare billing, Arizona enrollment
- 147 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Paul Gilbert's NPI number?
The NPI number for Paul Gilbert is 1154343358. It was assigned to this individual provider in the NPPES registry on July 24, 2006.
Where is Paul Gilbert located?
Paul Gilbert practices at 57 E Delaware Pl 3406, Chicago, IL 60611. The listed phone number is (312) 951-5800.
What is Paul Gilbert's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Paul Gilbert enrolled in Medicare?
Yes. Paul Gilbert 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 organizations bill Medicare for Paul Gilbert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Gilbert reassigns Medicare benefits to 8 organizations: Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm (Camp Verde, AZ), Exceptional Physicians Group Prescott Hospital PLLC (Prescott, AZ), Emergency Physicians Southwest, PC (Mesa, AZ), San Xavier District Office (Tucson, AZ), Exceptional Physicians Group Eloy Hospital PLLC (Eloy, AZ) and 3 more organizations, listed in the Medicare section above. Each 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 Paul Gilbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Gilbert accept?
Health plans from Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Paul Gilbert 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 Paul Gilbert was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Paul Gilbert, MD · NPI 1154343358
Emergency Medicine physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since July 24, 2006.
## Identity
- **NPI:** 1154343358 (Entity type: Individual)
- **Enumerated:** July 24, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 57 E DELAWARE PL, 3406, Chicago, IL 60611-1476
- **Phone:** (312) 951-5800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm (NPI 1205859618, Camp Verde, AZ); Exceptional Physicians Group Prescott Hospital PLLC (NPI 1720807670, Prescott, AZ); Emergency Physicians Southwest, PC (NPI 1912053752, Mesa, AZ); San Xavier District Office (NPI 1073694832, Tucson, AZ); Exceptional Physicians Group Eloy Hospital PLLC (NPI 1760203855, Eloy, AZ); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2000
## Record status
- **NPPES last updated:** November 16, 2007
- **Other identifiers:** Other 08232204 (IL); Medicare PIN K44277 (IL); Medicaid 0361083545 (IL); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1154343358) · Data from the CMS NPPES public registry.