KELSEY GALLO MD
NPI 1184117962
Urology in Evanston, IL

Q: What is Kelsey Gallo's NPI number?

The NPI number for Kelsey Gallo is 1184117962. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Q: What is Kelsey Gallo's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Gallo was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 07, 2018PECOS EnrolledAccepts Medicare Assignment

1000 CENTRAL ST STE 720, EVANSTON, IL 60201(847) 503-3000(847) 503-3500 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2026, Jan 19, 2026, Dec 4, 2025 and 2 more (5 updates tracked since 2023).

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About Kelsey Gallo Md NPPES

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

KELSEY GALLO MD (NPI 1184117962) is an individual urology provider in Evanston, Illinois, licensed in Illinois (036176988) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184117962

Entity TypeIndividualFemale

Primary Taxonomy208800000X

Provider Legal NameKELSEY GALLOCredential: MD

Location Address1000 CENTRAL ST STE 720Evanston, IL 60201-1779

Mailing Address2650 Ridge Ave # 1223Evanston, IL 60201-1700

Phone(847) 503-3000

Fax(847) 503-3500

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 7, 2018

Last NPPES UpdateApril 20, 20265 updates tracked since enumeration

NPPES CertifiedApril 20, 2026

✔ NPI 1184117962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in IL · 036176988

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedUrology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 2088F0040X · License 036176988 (IL)

1000 CENTRAL ST STE 720, Evanston, IL 60201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Kelsey Gallo 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.

PECOS PAC ID6901300722

PECOS Enrollment IDI20250916002182

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140114

Location5145 N California AveChicago, IL 60625 · Cook County

Emergency services Birthing friendly

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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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

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

HAYLEY SILVER MD

Urology

1000 CENTRAL ST STE 720
EVANSTON, IL 60201

Cook County (847) 503-3000

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 Kelsey Gallo's NPI number?

The NPI number for Kelsey Gallo is 1184117962. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Where is Kelsey Gallo located?

Kelsey Gallo practices at 1000 Central St Ste 720, Evanston, IL 60201. The listed phone number is (847) 503-3000.

What is Kelsey Gallo's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Kelsey Gallo enrolled in Medicare?

Yes. Kelsey Gallo 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.

What insurance does Kelsey Gallo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kelsey Gallo 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.

Is Kelsey Gallo affiliated with any hospitals?

According to CMS data, Kelsey Gallo is affiliated with Northshore University Healthsystem - Evanston Hospital and Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey Gallo was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.