DR. REZA ALEX GAMAGAMI (M.D.) – Surgery Physician, NPI 1275517153

DR. REZA ALEX GAMAGAMI (M.D.) is a healthcare provider. based in New lenox, Illinois. specializing in GENERAL SURGERY, COLORECTAL SURGERY (PROCTOLOGY), HEMATOLOGY/ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 036-103521 (IL). The NPI Number for DR. REZA ALEX GAMAGAMI (M.D.) is 1275517153

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. REZA ALEX GAMAGAMI (M.D.)
NPI
1275517153
Phone
(815) 717-8730
Address
1890 SILVER CROSS BLVD
Enumeration Date
3 December 2005
Last Update Date
18 January 2024

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8157178730
Graduation Year
1989 (37 years ago)
PAC ID
7911993142
Group Practice PAC ID
0042358673
Professional Enrollment ID
I20040422001590
Address ID
IL604519547NE1890XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,422 GENERAL SURGERY in IL

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Provider Addresses for DR. REZA ALEX GAMAGAMI (M.D.)

  • 1890, Silver Cross Boulevard, New Lenox, Will County, Illinois, 60451, United States

    SUITE 410

    NEW LENOX, IL 604519524

    Phone: (815) 717-8730

    Fax: (815) 717-8729

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 397 Open Payments records for all available years, with a total value of $354,277.

Total Amount is formed as General ($354,277) + Research ($0) + Ownership ($0) = $354,277.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($351,309).

Total Amount

$354,277

General + Research + Ownership

Payments

397

Total payment records

General Amount

$354,277

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-04-22

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
I20040422001590IGeneral 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
99213Established patient office or other outpatient visit, 20-29 minutes184148$0
99204New patient office or other outpatient visit, 45-59 minutes157157$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope9288$0
99214Established patient office or other outpatient visit, 30-39 minutes8476$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk5858$0
View full utilization report →

Insurance plans in this area (ZIP 60451)

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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: 0042358673View full group profile
NameSpecialtyState
Physician AssistantIL
General SurgeryIL
Physician AssistantIL
General SurgeryIL
-CA
General SurgeryIL
General SurgeryIL
Physician AssistantNV
General SurgeryIL

Reviews

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Frequently asked questions

How is DR. REZA ALEX GAMAGAMI (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. REZA ALEX GAMAGAMI (M.D.) with NPI 1275517153.
Does CMS list DR. REZA ALEX GAMAGAMI (M.D.) as active?
Yes — DR. REZA ALEX GAMAGAMI (M.D.) is active in the NPI listing used on this page.
What is DR. REZA ALEX GAMAGAMI (M.D.)'s specialty?
The listing groups DR. REZA ALEX GAMAGAMI (M.D.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. REZA ALEX GAMAGAMI (M.D.) based?
DR. REZA ALEX GAMAGAMI (M.D.) is tied to New Lenox, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about DR. REZA ALEX GAMAGAMI (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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