JENNIFER Y GAMBLA – Surgery Physician, NPI 1174581482

JENNIFER Y GAMBLA is a healthcare provider. based in Palos heights, Illinois. specializing in GENERAL SURGERY. They hold a License No. 036126697 (IL). The NPI Number for JENNIFER Y GAMBLA is 1174581482

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER Y GAMBLA
NPI
1174581482
Phone
(708) 923-5173
Address
12251 S 80TH AVE
Enumeration Date
3 May 2006
Last Update Date
24 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888240200
Graduation Year
1999 (27 years ago)
PAC ID
0042277949
Group Practice PAC ID
7719899426
Professional Enrollment ID
I20110310000855
Address ID
IL606371443CH5841XAVEX400

Contacts

Secure Messaging
jgambla224217@uchospital.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,422 GENERAL SURGERY in IL

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Provider Addresses for JENNIFER Y GAMBLA

  • Palos Hospital, 12251, South 80th Avenue, Palos Heights, Palos Township, Cook County, Illinois, 60463, United States

    SUITE 1630

    PALOS HEIGHTS, IL 604631256

    Phone: (708) 923-5173

    Fax: (708) 923-5018

    Type: Mailing

  • South La Grange Road, Tinley Park, Orland Township, Will County, Illinois, 60449, United States

    SUITE 102

    TINLEY PARK, IL 604877502

    Phone: (708) 590-5520

    Fax: (708) 590-5524

    Type: Location

  • 150 HARVESTER DR

    SUITE 300

    BURR RIDGE, IL 605275919

    Phone:

    Type: Mailing

  • 5841 S MARYLAND AVE

    CHICAGO, IL 606371443

    Phone: (888) 824-0200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $354.

Total Amount is formed as General ($354) + Research ($0) + Ownership ($0) = $354.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($170).

Total Amount

$354

General + Research + Ownership

Payments

24

Total payment records

General Amount

$354

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2011-03-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110310000855IGeneral SurgeryILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8553$0
99213Established patient office or other outpatient visit, 20-29 minutes5548$0
99205New patient office or other outpatient visit, 60-74 minutes4747$0
19301Partial removal of breast3231$0
38525Biopsy or removal of deep lymph nodes of underarm2424$0
View full utilization report →

Insurance plans in this area (ZIP 60463)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719899426View full group profile
NameSpecialtyState
Emergency MedicineIL
N E U R O L O G YIL
General SurgeryIN
Pediatric Medicine, Emergency MedicineIL
-IL
-IL
Cardiovascular Disease (Cardiology)IL
-IL
Nurse PractitionerMI
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

How do payers reference JENNIFER Y GAMBLA?
For JENNIFER Y GAMBLA, use NPI 1174581482 as the unique 10-digit identifier.
Is JENNIFER Y GAMBLA shown as active in public data?
Registry records indicate JENNIFER Y GAMBLA maintains an active NPI.
What kind of doctor is JENNIFER Y GAMBLA?
JENNIFER Y GAMBLA is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with JENNIFER Y GAMBLA?
Directory geography for JENNIFER Y GAMBLA centers on Palos Heights, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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