DR. PUJA SHETH GOGAWALE (M.D.) – Obstetrics & Gynecology Physician, NPI 1093151573
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,923 OBSTETRICS/GYNECOLOGY in IL
Provider Addresses for DR. PUJA SHETH GOGAWALE (M.D.)
250 E Superior St
Chicago, IL 606112914
Phone: (312) 926-2000
Fax: (312) 472-0141
Type: Location
2800 W 95TH ST # 3N
EVERGREEN PARK, IL 608052701
Phone: (708) 229-5420
Type: Mailing
1701 W SUPERIOR ST FL 2
CHICAGO, IL 606225646
Phone: (312) 666-3494
Type: Location
2850 W 95TH ST STE 203
EVERGREEN PARK, IL 608052734
Phone: (708) 499-4100
Fax: (708) 499-4132
Type: Location
250 E SUPERIOR ST
CHICAGO, IL 606112914
Phone: (312) 926-2000
Fax: (312) 472-0141
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Baxter Healthcare ($27).
Total Amount
$43
General + Research + Ownership
Payments
2
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $27 |
| LeMaitre Vascular, Inc. | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-09-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170927002069 | I | Obstetrics/Gynecology | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60611)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Hospitalist, Neurosurgery | IL | |
| Family Practice | PA | |
| Mental Health Counselor | IL | |
| Family Practice | IL | |
| Family Practice | IL | |
| Family Practice | IL | |
| Family Practice, Osteopathic Manipulative Medicine | IL | |
| Nurse Practitioner | IL | |
| - | IL |
Reviews
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