ELLEN J GUSTAFSON MD
NPI 1245296896
Internal Medicine - Hematology & Oncology in Joliet, IL

Q: What is Ellen Gustafson's NPI number?

The NPI number for Ellen Gustafson is 1245296896. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Q: What is Ellen Gustafson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Gustafson was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 April 24, 2006PECOS EnrolledAccepts Medicare Assignment

2614 W JEFFERSON ST, JOLIET, IL 60435(815) 725-1355(815) 725-9857 Get Directions Write a Review

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

On this page

About Ellen J Gustafson Md NPPES

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

ELLEN J GUSTAFSON MD (NPI 1245296896) is an individual hematology & oncology provider in Joliet, Illinois, licensed in Illinois (036109139) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1245296896

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameELLEN J GUSTAFSONCredential: MD

Location Address2614 W JEFFERSON STJoliet, IL 60435

Mailing Address1860 Paysphere CirChicago, IL 60674-0018 · (630) 469-9200

Phone(815) 725-1355

Fax(815) 725-9857

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1978

Enumeration DateApril 24, 2006

Last NPPES UpdateApril 25, 2025

NPPES CertifiedApril 25, 2025

✔ NPI 1245296896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in IL · 036109139

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

2614 W JEFFERSON ST, Joliet, IL 60435

Open in Google Maps ↗

Secondary Practice Location 1

Location 11801 W Taylor StChicago, IL 60612-4795 · Phone (312) 355-1625

Other Identifiers 5

OtherK26698IL · Medicare Indiv Id# For Group 208256

OtherK26699IL · Medicare Indiv Id# For Group 336140

Medicaid036109139IL

OtherK26697IL · Medicare Indiv Id# For Group 205474

OtherP00307129IL · Medicare Rr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Ellen J Gustafson 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 ID3971512708

PECOS Enrollment IDI20060406000202

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

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

Hope & Healing Cancer Services LLC

23 mi

Hematology & Oncology

950 N YORK RD STE 201A
Hinsdale, IL 60521

Reassigned Medicare billing, Illinois enrollment
4 clinicians in this Medicare group

NPI 1821594607 (630) 560-0121

The Board Of Trustees Of The University Of Illinois

30 mi

Federally Qualified Health Center (FQHC)

8131 S MAY ST
Chicago, IL 60620

Reassigned Medicare billing, Illinois enrollment
2,127 clinicians in this Medicare group

NPI 1952713323 (312) 996-4656

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 9

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

420 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

109 services66 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

72 services51 patients

Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less 96367

This procedure involves injecting fluids or medication directly into your vein. It's used for treatment, prevention, or diagnosis. An additional sequential infusion may be given within an hour if needed. This helps to ensure the medicine is distributed effectively in your body.

62 services11 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

44 services11 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

35 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Presence Saint Joseph Medical Center

Acute Care Hospitals · Joliet, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140007

Location333 N Madison StJoliet, IL 60435 · Will County

Emergency services Birthing friendly

Morris Hospital & Healthcare Centers

Acute Care Hospitals · Morris, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140101

Location150 W High StMorris, IL 60450 · Grundy County

Emergency services Birthing friendly

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number140150

Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County

Emergency services Birthing friendly

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140213

Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60435 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

$181.38 typical visit price

range $59.81 – $181.38

Typical copayment $45.34 (range $14.95 – $45.34)

Most-billed visit code 99205

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

Other Providers at the Same Location NPPES 16

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

SALMAN ABDUL WAHEED M.D.

Internal Medicine (Hematology & Oncology)