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DR. GINAMARIE PAPIA DO
NPI 1205395050
Internal Medicine in Skokie, IL

Active since March 19, 2019PECOS Enrolled
94.1/100
CMS Quality Rating
7450 LINCOLN AVE UNIT 412, SKOKIE, IL 60076(312) 544-9567(305) 703-3695 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2025, Feb 5, 2025, Aug 30, 2023 and 3 more (6 updates tracked since 2019).

About Dr. Ginamarie Papia Do NPPES

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

DR. GINAMARIE PAPIA DO (NPI 1205395050) is an individual internal medicine provider in Skokie, Illinois, licensed in Illinois (036.160840) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205395050
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. GINAMARIE PAPIACredential: DO
Location Address7450 LINCOLN AVE UNIT 412Skokie, IL 60076-3891
Mailing Address1130 143rd PlWhitestone, NY 11357-2355
Phone(312) 544-9567
Fax(305) 703-3695
Sole ProprietorYes
Enumeration DateMarch 19, 2019
Last NPPES UpdateFebruary 21, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1205395050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036.160840✔ Licensed in NY · 324726-01
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 036.160840 (IL)
7450 LINCOLN AVE UNIT 412, Skokie, IL 60076
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ginamarie Papia Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ginamarie Papia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endeavor Health Medical Group
4.5 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235
Northwestern Medical Faculty Foundation
26 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60076 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
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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 Ginamarie Papia's NPI number?

The NPI number for Ginamarie Papia is 1205395050. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Ginamarie Papia located?

Ginamarie Papia practices at 7450 Lincoln Ave Unit 412, Skokie, IL 60076. The listed phone number is (312) 544-9567.

What is Ginamarie Papia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ginamarie Papia enrolled in Medicare?

Yes. Ginamarie Papia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ginamarie Papia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ginamarie Papia reassigns Medicare benefits to 2 organizations: Endeavor Health Medical Group (Evanston, IL) and Northwestern Medical Faculty Foundation (Carol Stream, IL). 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 Ginamarie Papia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ginamarie Papia was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.