DR. DORON GALILI M.D.
NPI 1215160320
Internal Medicine in Arlington Heights, IL

Active since August 24, 2009PECOS EnrolledAccepts Medicare Assignment
89.66/100
CMS Quality Rating
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005(847) 227-8987 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2021, Apr 12, 2019 (2 updates tracked since 2019).

About Dr. Doron Galili M.d. NPPES

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

DR. DORON GALILI M.D. (NPI 1215160320) is an individual internal medicine provider in Arlington Heights, Illinois, licensed in Illinois (036130825) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and is a graduate of Rush Medical College Of Rush University (2009).

NPPES Registry Identity

NPI1215160320
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DORON GALILICredential: M.D.
Location Address800 W CENTRAL RDArlington Heights, IL 60005-2349
Mailing Address3040 W Salt Creek LnArlington Heights, IL 60005-1069 · (847) 618-3481 · Fax (847) 618-3489
Sole ProprietorYes
Medical School CMSRush Medical College Of Rush UniversityGraduated 2009
Enumeration DateAugust 24, 2009
Last NPPES UpdateApril 28, 20212 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
✔ NPI 1215160320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036130825
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 036130825 (IL)
800 W CENTRAL RD, Arlington Heights, IL 60005

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

Dr. Doron Galili M.d. 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 ID3173770633
PECOS Enrollment IDI20120906000188
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 Doron Galili reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics
880 W CENTRAL RD STE 6200
Arlington Heights, IL 60005
  • Reassigned Medicare billing, Illinois enrollment
  • 346 clinicians in this Medicare group
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
741 services279 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
228 services216 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
139 services137 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services33 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60005 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.

89.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.32
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$68.54 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$29.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Hospitalist
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Hospitalist
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Internal Medicine (Critical Care Medicine)
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Pathology (Anatomic Pathology & Clinical Pathology)
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Anesthesiology
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Physical Therapist
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Radiology (Radiation Oncology)
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Emergency Medicine
800 W CENTRAL RD, NORTHWEST COMMUNITY HOSPITAL
ARLINGTON HEIGHTS, IL 60005

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 Doron Galili's NPI number?

The NPI number for Doron Galili is 1215160320. It was assigned to this individual provider in the NPPES registry on August 24, 2009.

Where is Doron Galili located?

Doron Galili practices at 800 W Central Rd, Arlington Heights, IL 60005. The listed phone number is (847) 227-8987.

What is Doron Galili's specialty?

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

Is Doron Galili enrolled in Medicare?

Yes. Doron Galili 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 Doron Galili's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Doron Galili reassigns Medicare benefits to 2 organizations: Northwest Community Health Services Inc (Arlington Heights, IL) and Endeavor Health Medical Group (Evanston, 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 Doron Galili's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Doron Galili affiliated with any hospitals?

According to CMS data, Doron Galili is affiliated with Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Doron Galili was last updated on April 28, 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.