Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

NIRMALA GONSALVES MD
NPI 1326038712
Internal Medicine - Gastroenterology in Chicago, IL

Active since October 26, 2005PECOS Enrolled
94.1/100
CMS Quality Rating
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611(312) 695-4022 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nirmala Gonsalves Md NPPES

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

NIRMALA GONSALVES MD (NPI 1326038712) is an individual gastroenterology provider in Chicago, Illinois and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1326038712
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameNIRMALA GONSALVESCredential: MD
Location Address680 N LAKE SHORE DR, SUITE 1000Chicago, IL 60611-4546
Mailing Address680 N Lake Shore Dr, Suite 1000Chicago, IL 60611-4546 · (312) 695-4022
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 26, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1326038712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

680 N LAKE SHORE DR, Chicago, IL 60611

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

Nirmala Gonsalves 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 ID8224062575
PECOS Enrollment IDI20050926000616
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
66 services52 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.
53 services45 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
18 services14 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Gastroenterology)
680 N LAKE SHORE DR, SUITE 118
CHICAGO, IL 60611
Durable Medical Equipment & Medical Supplies
680 N LAKE SHORE DR, SUITE 1207
CHICAGO, IL 60611
Anesthesiology
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Transplant Surgery
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Internal Medicine (Nephrology)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Internal Medicine (Cardiovascular Disease)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Radiology (Diagnostic Radiology)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Anesthesiology (Critical Care Medicine)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326038712, enumerated as an "individual" on October 26, 2005.

The provider is located at 680 N LAKE SHORE DR SUITE 1000 CHICAGO, IL 60611 and the phone number is (312) 695-4022.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

Nirmala Gonsalves is affiliated with: NORTHWESTERN MEMORIAL HOSPITAL.