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KATHERYN ELLEN GAMBETTA MD
NPI 1609056654
Pediatrics - Pediatric Cardiology in Chicago, IL

Active since November 07, 2007PECOS EnrolledAccepts Medicare Assignment
225 E CHICAGO AVE # 21, CHICAGO, IL 60611(312) 227-4100(312) 227-9640 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Katheryn Ellen Gambetta Md NPPES

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

KATHERYN ELLEN GAMBETTA MD (NPI 1609056654) is an individual pediatric cardiology provider in Chicago, Illinois, licensed in Illinois (036104852) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, maintains 14 additional practice locations, and is a graduate of Indiana University School Of Medicine (1997).

NPPES Registry Identity

NPI1609056654
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameKATHERYN ELLEN GAMBETTACredential: MD
Location Address225 E CHICAGO AVE # 21Chicago, IL 60611-2991
Mailing Address225 E Chicago Ave # 21Chicago, IL 60611-2991 · (312) 227-4100 · Fax (312) 227-9640
Phone(312) 227-4100
Fax(312) 227-9640
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1997
Enumeration DateNovember 7, 2007
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1609056654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in IL · 036104852✔ Licensed in IN · 99028739A
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
225 E CHICAGO AVE # 21, Chicago, IL 60611
Open in Google Maps ↗

Secondary Practice Locations 14

Location 12515 N Clark St Ste 900Chicago, IL 60614-2730 · Phone (312) 227-4100
Location 21620 W Harrison StChicago, IL 60612-3801 · Phone (312) 227-4100 · Fax (312) 227-9640
Location 3880 W Central Rd Ste 6400Arlington Heights, IL 60005-2378 · Phone (312) 227-4100 · Fax (312) 227-4100
Location 4251 E Huron StChicago, IL 60611-2908 · Phone (312) 227-4100 · Fax (312) 227-9640
Location 5250 E Superior StChicago, IL 60611-2914 · Phone (312) 227-4100 · Fax (312) 227-9640
Location 62301 Enterprise DrWestchester, IL 60154-5802 · Phone (312) 227-4100 · Fax (312) 227-9640
Location 73722 Touhy AveSkokie, IL 60076-3941 · Phone (312) 227-4100 · Fax (312) 227-9640
Location 81895 Arbor Glen BlvdSchaumburg, IL 60195-3114 · Phone (312) 227-4100 · Fax (312) 227-9640
Location 925 N Winfield RdWinfield, IL 60190-1379 · Phone (312) 227-4100
Location 10900 N Westmoreland Rd Ste 110Lake Forest, IL 60045-1688 · Phone (312) 227-4100
Location 111131 Techny RdNorthbrook, IL 60062-5503 · Phone (312) 227-4100 · Fax (312) 227-9640
Location 121870 Silver Cross Blvd Ste 210New Lenox, IL 60451-8646 · Phone (312) 227-4100 · Fax (312) 227-9640
Location 1310350 Haligus Rd Ste 110Huntley, IL 60142-9526 · Phone (312) 227-4100
Location 141475 E Belvidere Rd, Pavilion C, Suite 285Grayslake, IL 60030 · Phone (312) 227-4100

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

Katheryn Ellen Gambetta 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 ID8921257957
PECOS Enrollment IDI20121005000423
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 Reassignment

Medicare enrollment records show Katheryn Gambetta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lurie Children's Medical Group Inc
Same address
Pediatrics
225 E CHICAGO AVE
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
NPI 1518064716 (312) 227-6412

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

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

DR. JUSTIN BRADLEY JIN M.D.
Pediatrics (Pediatric Cardiology)
225 E CHICAGO AVE # 21
CHICAGO, IL 60611
Cook County (312) 227-4100
ANDREW ARMSTRONG LAWSON
Pediatrics (Pediatric Cardiology)
225 E CHICAGO AVE # 21
CHICAGO, IL 60611
Cook County (312) 227-4100
SARAH JURGENSMEYER LANGAS MS, GC
Genetic Counselor, MS
225 E CHICAGO AVE # 21
CHICAGO, IL 60611
Cook County (312) 227-4100
DR. PAUL JOONG KIM M.D.
Pediatrics (Pediatric Cardiology)
225 E CHICAGO AVE # 21
CHICAGO, IL 60611
Cook County (312) 227-4100
SARA CHERNY MS CGC
Genetic Counselor, MS
225 E CHICAGO AVE # 21
CHICAGO, IL 60611
Cook County (312) 227-4100
DEFNE ARSLAN MAGNETTA MD
Pediatrics (Pediatric Cardiology)
225 E CHICAGO AVE # 21
CHICAGO, IL 60611
Cook County (312) 227-4371
MS. NANCY SUSAN HASENAUER FNP-BC
Nurse Practitioner (Family)
225 E CHICAGO AVE # 21
CHICAGO, IL 60611
Cook County (312) 227-1897
MICHAEL SATZER M.D.
Pediatrics (Pediatric Cardiology)
225 E CHICAGO AVE # 21
CHICAGO, IL 60611
Cook County (312) 227-4100

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 Katheryn Gambetta's NPI number?

The NPI number for Katheryn Gambetta is 1609056654. It was assigned to this individual provider in the NPPES registry on November 7, 2007.

Where is Katheryn Gambetta located?

Katheryn Gambetta practices at 225 E Chicago Ave # 21, Chicago, IL 60611. The listed phone number is (312) 227-4100.

What is Katheryn Gambetta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Katheryn Gambetta enrolled in Medicare?

Yes. Katheryn Gambetta 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 organization bills Medicare for Katheryn Gambetta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katheryn Gambetta reassigns Medicare benefits to Lurie Children's Medical Group Inc (Chicago, IL). The 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 Katheryn Gambetta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katheryn Gambetta was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.