DAVID GURKA M.D.
NPI 1255385514
Internal Medicine - Pulmonary Disease in Chicago, IL

Q: What is David Gurka's NPI number?

The NPI number for David Gurka is 1255385514. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Q: What is David Gurka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for David Gurka was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 May 20, 2006PECOS EnrolledAccepts Medicare Assignment

1725 W HARRISON ST, POB 054, CHICAGO, IL 60612(312) 942-5871 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About David Gurka M.d. NPPES

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

DAVID GURKA M.D. (NPI 1255385514) is an individual pulmonary disease provider in Chicago, Illinois and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1987).

NPPES Registry Identity

NPI1255385514

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDAVID GURKACredential: M.D.

Location Address1725 W HARRISON ST, POB 054Chicago, IL 60612-3841

Mailing Address1725 W Harrison St, Pob 054Chicago, IL 60612-3841 · (312) 942-5871

Phone(312) 942-5871

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1987

Enumeration DateMay 20, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1255385514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X

1725 W HARRISON ST, Chicago, IL 60612

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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

David Gurka 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 ID5193717130

PECOS Enrollment IDI20040331000964

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.

Areas of Expertise CMS Part B claims 8

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

177 services26 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

163 services63 patients

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.

65 services41 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.

58 services30 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.

25 services23 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

24 services17 patients

Hospital Affiliations CMS Care Compare

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140119

Location1653 West Congress ParkwayChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

6 suppliers37 claims38 services$3.23 avg. paid by Medicare

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 suppliers18 claims18 services$67.42 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers18 claims18 services$32.29 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers14 claims1,774 services$0.03 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers15 claims15 services$25.43 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.

DR. MARTA BATUS MD

Internal Medicine (Medical Oncology)

1725 W HARRISON ST, SUITE 809
CHICAGO, IL 60612

Cook County (312) 563-2487

KM WILLIAMS MD SC

Clinic/Center (Ophthalmologic Surgery)

1725 W HARRISON ST, STE 910
CHICAGO, IL 60612

Cook County (312) 622-7320

KENNETH M BOYER M.D.

Pediatrics (Pediatric Infectious Diseases)

1725 W HARRISON ST, SUITE 710
CHICAGO, IL 60612

Cook County (312) 942-3034

RUSH UNIVERSITY MEDICAL CENTER

Internal Medicine (Hematology)

1725 W HARRISON ST, SUITE 1010
CHICAGO, IL 60612

Cook County (312) 942-5904

DAVID ANSELL M.D.

Internal Medicine

1725 W HARRISON ST, SUITE 263
CHICAGO, IL 60612

Cook County (312) 942-6700

MIDWEST NEUROPSYCHIATRIC ASSOC LTD

Specialist

1725 W HARRISON ST, SUITE 744
CHICAGO, IL 60612

Cook County (312) 942-0118

JANICE DIESCHBOURG M.D.

Radiology (Diagnostic Radiology)

1725 W HARRISON ST, SUITE 155
CHICAGO, IL 60612

Cook County (312) 563-3269

AFFILIATED UROLOGISTS, LTD

Specialist

1725 W HARRISON ST, SUITE 762
CHICAGO, IL 60612

Cook County (312) 563-3447

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 David Gurka's NPI number?

The NPI number for David Gurka is 1255385514. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is David Gurka located?

David Gurka practices at 1725 W Harrison St Pob 054, Chicago, IL 60612. The listed phone number is (312) 942-5871.

What is David Gurka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is David Gurka enrolled in Medicare?

Yes. David Gurka 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 David Gurka accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list David Gurka 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 David Gurka affiliated with any hospitals?

According to CMS data, David Gurka is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for David Gurka was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.