KATHERYN ELLEN GAMBETTA (MD) – Pediatric Cardiology Physician, NPI 1609056654

KATHERYN ELLEN GAMBETTA (MD) is a healthcare provider. based in Chicago, Illinois. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 99028739A (IN). The NPI Number for KATHERYN ELLEN GAMBETTA (MD) is 1609056654

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
KATHERYN ELLEN GAMBETTA (MD)
NPI
1609056654
Phone
(773) 880-4553
Address
2300 N CHILDRENS PLZ
Enumeration Date
7 November 2007
Last Update Date
31 July 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3122276415
Graduation Year
1997 (29 years ago)
PAC ID
8921257957
Group Practice PAC ID
4789597279
Professional Enrollment ID
I20121005000423
Address ID
IL606112991CH225XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Digital endpointsOther names

1,158 PEDIATRIC MEDICINE in IL

Provider Addresses for KATHERYN ELLEN GAMBETTA (MD)

  • 2300 N CHILDRENS PLZ

    BOX 21

    CHICAGO, IL 606143363

    Phone: (773) 880-4553

    Fax: (773) 880-8111

    Type: Mailing

  • 1475 E Belvidere Rd, Pavilion C

    Suite 285

    Grayslake, IL 60030

    Phone: (312) 227-4100

    Type: Location

  • 10350 Haligus Rd Ste 110

    Huntley, IL 601429526

    Phone: (312) 227-4100

    Type: Location

  • 1870 Silver Cross Blvd Ste 210

    New Lenox, IL 604518646

    Phone: (312) 227-4100

    Fax: (312) 227-9640

    Type: Location

  • 1131 Techny Rd

    Northbrook, IL 600625503

    Phone: (312) 227-4100

    Fax: (312) 227-9640

    Type: Location

  • 900 N Westmoreland Rd Ste 110

    Lake Forest, IL 600451688

    Phone: (312) 227-4100

    Type: Location

  • 2515 N Clark St Ste 900

    Chicago, IL 606142730

    Phone: (312) 227-4100

    Type: Location

  • 25 N Winfield Rd

    Winfield, IL 601901379

    Phone: (312) 227-4100

    Type: Location

  • 1895 Arbor Glen Blvd

    Schaumburg, IL 601953114

    Phone: (312) 227-4100

    Fax: (312) 227-9640

    Type: Location

  • 3722 Touhy Ave

    Skokie, IL 600763941

    Phone: (312) 227-4100

    Fax: (312) 227-9640

    Type: Location

  • 2301 Enterprise Dr

    Westchester, IL 601545802

    Phone: (312) 227-4100

    Fax: (312) 227-9640

    Type: Location

  • 250 E Superior St

    Chicago, IL 606112914

    Phone: (312) 227-4100

    Fax: (312) 227-9640

    Type: Location

  • 251 E Huron St

    Chicago, IL 606112908

    Phone: (312) 227-4100

    Fax: (312) 227-9640

    Type: Location

  • 880 W Central Rd Ste 6400

    Arlington Heights, IL 600052378

    Phone: (312) 227-4100

    Fax: (312) 227-4100

    Type: Location

  • 1620 W Harrison St

    Chicago, IL 606123801

    Phone: (312) 227-4100

    Fax: (312) 227-9640

    Type: Location

  • 225 E CHICAGO AVE # 21

    CHICAGO, IL 606112991

    Phone: (312) 227-4100

    Fax: (312) 227-9640

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $283.

Total Amount is formed as General ($283) + Research ($0) + Ownership ($0) = $283.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Abbott Laboratories ($182).

Total Amount

$283

General + Research + Ownership

Payments

5

Total payment records

General Amount

$283

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2012-10-05

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
I20121005000423IPediatric MedicineILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60614)

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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: 4789597279View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists)IL
Pediatric Medicine, Cardiovascular Disease (Cardiology)IL
Pediatric Medicine, Cardiovascular Disease (Cardiology)IL
-IL
-IL
-IL
-IL
-IL
-IL
-IL

Reviews

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Frequently asked questions

Can I verify KATHERYN ELLEN GAMBETTA (MD) with an NPI only?
You can start verification with NPI 1609056654 for KATHERYN ELLEN GAMBETTA (MD), then check state licensing separately.
Can I rely on KATHERYN ELLEN GAMBETTA (MD) being an active provider?
As of the registry snapshot, KATHERYN ELLEN GAMBETTA (MD) is marked active.
What is KATHERYN ELLEN GAMBETTA (MD)'s specialty?
The listing groups KATHERYN ELLEN GAMBETTA (MD) with Pediatric Cardiology Physician. Clinical services aligned with this taxonomy classification.
Does KATHERYN ELLEN GAMBETTA (MD) list a practice location?
Patients near Chicago, Illinois may find KATHERYN ELLEN GAMBETTA (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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