DEEPALI GANGAHAR GERSHAN M.D.
NPI 1184949380
Psychiatry & Neurology - Addiction Psychiatry in Northbrook, IL

Q: What is Deepali Gershan's NPI number?

The NPI number for Deepali Gershan is 1184949380. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Q: What is Deepali Gershan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Q: Is Deepali Gershan enrolled in Medicare?

No. Deepali Gershan has opted out of Medicare through September 26, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Deepali Gershan was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 30, 2010Opted out of Medicare · through Sep 26, 2026

60 REVERE DR STE 100, NORTHBROOK, IL 60062(773) 266-6681 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Deepali Gangahar Gershan M.d. NPPES

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

DEEPALI GANGAHAR GERSHAN M.D. (NPI 1184949380) is an individual addiction psychiatry provider in Northbrook, Illinois, licensed in New York (279025) and active in the NPI registry since March 2010. She has opted out of Medicare through September 26, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184949380

Entity TypeIndividualFemale

Primary Taxonomy2084P0802X

Provider Legal NameDEEPALI GANGAHAR GERSHANCredential: M.D.

Location Address60 REVERE DR STE 100Northbrook, IL 60062-1590

Mailing Address60 Revere Dr Ste 100Northbrook, IL 60062-1590 · (773) 266-6681

Phone(773) 266-6681

Sole ProprietorYes

Enumeration DateMarch 30, 2010

Last NPPES UpdateJune 29, 2021

NPPES CertifiedJune 15, 2021

✔ NPI 1184949380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0802X

License✔ Licensed in NY · 279025

Definition

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

60 REVERE DR STE 100, Northbrook, IL 60062

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Deepali Gangahar Gershan M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 26, 2016 through September 26, 2026.

Opt-Out Effective DateSeptember 26, 2016

Opt-Out In Effect ThroughSeptember 26, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

DR. CALVIN F KLINT MD

Psychiatry & Neurology (Neurology)