DR. AMEER GOMBERAWALLA M.D.
NPI 1659671675
Surgery in Oak Lawn, IL

Q: What is Ameer Gomberawalla's NPI number?

The NPI number for Ameer Gomberawalla is 1659671675. It was assigned to this individual provider in the NPPES registry on October 25, 2010.

Q: What is Ameer Gomberawalla's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since October 25, 2010PECOS EnrolledAccepts Medicare Assignment

4400 W 95TH ST STE 413, OAK LAWN, IL 60453(708) 346-4055(708) 499-0948 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Ameer Gomberawalla M.d. NPPES

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

DR. AMEER GOMBERAWALLA M.D. (NPI 1659671675) is an individual surgery provider in Oak Lawn, Illinois, licensed in Illinois (036-132567) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and is a graduate of Northwestern University Feinberg Medical School (2010).

NPPES Registry Identity

NPI1659671675

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. AMEER GOMBERAWALLACredential: M.D.

Location Address4400 W 95TH ST STE 413Oak Lawn, IL 60453-2662

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(708) 346-4055

Fax(708) 499-0948

Sole ProprietorYes

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2010

Enumeration DateOctober 25, 2010

Last NPPES UpdateJune 27, 2022

NPPES CertifiedJune 27, 2022

✔ NPI 1659671675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IL · 036-132567

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

4400 W 95TH ST STE 413, Oak Lawn, IL 60453

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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

Dr. Ameer Gomberawalla 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 ID7113239930

PECOS Enrollment IDI20170125001665

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 7

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.

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.

94 services82 patients

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

57 services51 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.

28 services24 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

19 services18 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

19 services19 patients

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140048

Location2320 E 93rd StChicago, IL 60617 · Cook County

Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140208

Location4440 W 95th StreetOak Lawn, IL 60453 · Cook 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 60453 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000

DME-Orthotic Devices · category DF000N

1 supplier16 claims74 services$35.39 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 4

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

PAUL R BALASH M.D.

Surgery

4400 W 95TH ST STE 413
OAK LAWN, IL 60453

Cook County (708) 346-4055

JASON ZIMMERMANN M.D.

Surgery

4400 W 95TH ST STE 413
OAK LAWN, IL 60453

Cook County (708) 499-0034

MIDWEST SURGICAL GROUP SC

Surgery

4400 W 95TH ST STE 413
OAK LAWN, FL 60453

Cook County (708) 346-4055

MALLORY PAULETTE KOSOW

Physician Assistant

4400 W 95TH ST STE 413
OAK LAWN, IL 60453

Cook County (708) 346-4055

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 Ameer Gomberawalla's NPI number?

The NPI number for Ameer Gomberawalla is 1659671675. It was assigned to this individual provider in the NPPES registry on October 25, 2010.

Where is Ameer Gomberawalla located?

Ameer Gomberawalla practices at 4400 W 95th St Ste 413, Oak Lawn, IL 60453. The listed phone number is (708) 346-4055.

What is Ameer Gomberawalla's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ameer Gomberawalla enrolled in Medicare?

Yes. Ameer Gomberawalla 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 Ameer Gomberawalla accept?

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

According to CMS data, Ameer Gomberawalla is affiliated with Advocate Trinity Hospital, Advocate Christ Hospital & Medical Center and Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Ameer Gomberawalla was last updated on June 27, 2022. 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.