MICHAEL T. GILLAM (M.D.) – Emergency Medicine Physician, NPI 1013092188
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,497 EMERGENCY MEDICINE in VA
Provider Addresses for MICHAEL T. GILLAM (M.D.)
7042 Little River Tpke Ste A
Annandale, VA 220035973
Phone: (703) 343-7125
Type: Location
Evanston Hospital, 2650, Ridge Avenue, Evanston, Evanston Township, Cook County, Illinois, 60201, United States
EVANSTON, IL 602011700
Phone: (847) 570-1644
Fax: (847) 733-5315
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-10-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20251015003740 | I | Emergency Medicine | DC | TBD |
| I20251029000129 | I | Emergency Medicine | VA | 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 22003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA | |
| - | VA | |
| - | VA | |
| Family Practice | VA | |
| Physician Assistant | VA | |
| Family Practice | VA | |
| Family Practice | VA | |
| Family Practice | VA | |
| Internal Medicine | VA | |
| Physician Assistant | DC |
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