NICOLE M. GASTALA M.D. – NPI #1912260571
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

NICOLE GASTALA is a physician located in CHICAGO, IL. NPPES has assigned the NPI number 1912260571 to NICOLE GASTALA on June 19, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Nov 22, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICOLE GASTALA below.

NPI Profile for
NICOLE M. GASTALA

NPI Number
1912260571
Enumeration Date

(about 14 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
NICOLE M. GASTALA
Credentials
M.D.
Primary location
1220 S WOOD ST
CHICAGO, IL 60608
Phone: (708) 642-6875 Fax:
1 Other location(s):
412 E Church St
Marshalltown, IA 50158-2947
Phone: (641) 753-4021
Fax: (641) 753-4025
Mailing address
1515 S PRAIRIE AVE UNIT 1311
CHICAGO, IL 60605-3157
Phone: (708) 642-6875 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 IA 41628
390200000X
- Student in an Organized Health Care Education/Training Program		 IA R 9515

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE - Graduated 2012
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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