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GABRIEL STEFANO GONZALES-PORTILLO MD
NPI 1710622394
Surgery in Chicago, IL

Active since April 28, 2022PECOS Enrolled
1740 W TAYLOR ST, CHICAGO, IL 60612(813) 777-1507 Get Directions Write a Review

NPPES record last updated: November 23, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 23, 2024, Mar 29, 2023, May 4, 2022 and 1 more (4 updates tracked since 2022).

About Gabriel Stefano Gonzales-portillo Md NPPES

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

GABRIEL STEFANO GONZALES-PORTILLO MD (NPI 1710622394) is an individual surgery provider in Chicago, Illinois, licensed in Arizona (R79435) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710622394
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameGABRIEL STEFANO GONZALES-PORTILLOCredential: MD
Location Address1740 W TAYLOR STChicago, IL 60612-7232
Mailing Address1740 W Taylor StChicago, IL 60612-7232 · (312) 355-4000
Phone(813) 777-1507
Sole ProprietorYes
Enumeration DateApril 28, 2022
Last NPPES UpdateNovember 23, 20244 updates tracked since enumeration
NPPES CertifiedNovember 23, 2024
✔ NPI 1710622394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AZ · R79435
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.
1740 W TAYLOR ST, Chicago, IL 60612
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gabriel Stefano Gonzales-portillo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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
$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.

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.

MRS. CATHLEEN CONWAY JENSEN OTR/L
Occupational Therapist
1740 W TAYLOR ST, C100
CHICAGO, IL 60612
Cook County (312) 996-3700
KELLY M HOYERT PA-C
Physician Assistant (Surgical)
1740 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612
Cook County (312) 355-4300
DR. YI-LOONG COLIN WOON M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
VIDHI SRIVASTAVA MD
Anesthesiology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
AMY PHAM D.O.
Pediatrics (Neonatal-Perinatal Medicine)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
WILSON CHING M.D.
Family Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
ADRIENNE BERMAN MD
Ophthalmology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
JOSEPH S COLLA M.D.
Emergency Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (312) 996-8177

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 Gabriel Gonzales-portillo's NPI number?

The NPI number for Gabriel Gonzales-portillo is 1710622394. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is Gabriel Gonzales-portillo located?

Gabriel Gonzales-portillo practices at 1740 W Taylor St, Chicago, IL 60612. The listed phone number is (813) 777-1507.

What is Gabriel Gonzales-portillo's specialty?

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

Is Gabriel Gonzales-portillo enrolled in Medicare?

Yes. Gabriel Gonzales-portillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gabriel Gonzales-portillo was last updated on November 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.