GAILE SABALIAUSKAS MD
NPI 1326094699
Internal Medicine - Cardiovascular Disease in Downers Grove, IL

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
3825 HIGHLAND AVE, TOWER 2 SUITE 400, DOWNERS GROVE, IL 60515(630) 719-4799 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gaile Sabaliauskas Md NPPES

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

GAILE SABALIAUSKAS MD (NPI 1326094699) is an individual cardiovascular disease provider in Downers Grove, Illinois, licensed in Illinois (036102021) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Adventist Hinsdale Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1997).

NPPES Registry Identity

NPI1326094699
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameGAILE SABALIAUSKASCredential: MD
Location Address3825 HIGHLAND AVE, TOWER 2 SUITE 400Downers Grove, IL 60515-1552
Mailing Address1919 S Highland Ave, Suite B202 Attn Jan LewisLombard, IL 60148-6153 · (630) 268-1102 · Fax (630) 268-1125
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1997
Enumeration DateMay 26, 2006
Last NPPES UpdateDecember 30, 2021
NPPES CertifiedDecember 30, 2021
✔ NPI 1326094699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IL · 036102021
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3825 HIGHLAND AVE, Downers Grove, IL 60515

Other Identifiers 2

Medicaid036102021IL
Other060071443Railroad Medicare

Accepted 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

Gaile Sabaliauskas 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 ID1557343654
PECOS Enrollment IDI20040602001579
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

4

Medicare enrollment records show Gaile Sabaliauskas reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
3825 HIGHLAND AVE, TOWER 2 SUITE 400
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
Multi-Specialty
1200 S YORK ST
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 240 clinicians in this Medicare group
General Acute Care Hospital
801 S WASHINGTON ST
Naperville, IL 60540
  • Reassigned Medicare billing, Illinois enrollment
  • 268 clinicians in this Medicare group
General Acute Care Hospital
25 NORTH WINFIELD RD.
Winfield, IL 60190
  • Reassigned Medicare billing, Illinois enrollment
  • 129 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 32

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
938 services749 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.
603 services462 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
485 services448 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
379 services237 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
320 services80 patients
Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502
Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.
298 services151 patients

Hospital Affiliations CMS Care Compare 5

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

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140182
Location836 West Wellington AvenueChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
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 20

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

Internal Medicine (Interventional Cardiology)
3825 HIGHLAND AVE, TOWER 2 SUITE 400
DOWNERS GROVE, IL 60515
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3825 HIGHLAND AVE, 3B
DOWNERS GROVE, IL 60515
Internal Medicine (Cardiovascular Disease)
3825 HIGHLAND AVE, TOWER 2 SUITE 400
DOWNERS GROVE, IL 60515
Legal Medicine
3825 HIGHLAND AVE, SUITE 4B
DOWNERS GROVE, IL 60515
Obstetrics & Gynecology
3825 HIGHLAND AVE, 3B
DOWNERS GROVE, IL 60515
Urology
3825 HIGHLAND AVE, SUITE 207
DOWNERS GROVE, IL 60515
Internal Medicine (Infectious Disease)
3825 HIGHLAND AVE, TOWER I, SUITE 3F
DOWNERS GROVE, IL 60515
Internal Medicine (Clinical Cardiac Electrophysiology)
3825 HIGHLAND AVE, TOWER 2 SUITE 400
DOWNERS GROVE, IL 60515

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 Gaile Sabaliauskas's NPI number?

The NPI number for Gaile Sabaliauskas is 1326094699. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Gaile Sabaliauskas located?

Gaile Sabaliauskas practices at 3825 Highland Ave Tower 2 Suite 400, Downers Grove, IL 60515. The listed phone number is (630) 719-4799.

What is Gaile Sabaliauskas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Gaile Sabaliauskas enrolled in Medicare?

Yes. Gaile Sabaliauskas 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 Gaile Sabaliauskas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gaile Sabaliauskas reassigns Medicare benefits to 4 organizations: Advocate Health And Hospitals Corporation (Downers Grove, IL), Elmhurst Memorial Healthcare (Elmhurst, IL), Edward Hospital (Naperville, IL) and Central Dupage Hospital Association (Winfield, 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 Gaile Sabaliauskas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gaile Sabaliauskas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Gaile Sabaliauskas 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 Gaile Sabaliauskas affiliated with any hospitals?

According to CMS data, Gaile Sabaliauskas is affiliated with Adventist Hinsdale Hospital, Advocate Illinois Masonic Medical Center, Elmhurst Memorial Hospital, Edward Hospital and Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Gaile Sabaliauskas was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.