Kelsey Gallo, MD - Medicare Urology in Evanston, IL

Kelsey Gallo, MD is a medicare enrolled "Urology" physician in Evanston, Illinois. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Urology. She is a member of the group practice Endeavor Health Medical Group and her current practice location is 1000 Central St Ste 720, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 503-3000.

Kelsey Gallo is licensed to practice in Illinois (license number 036176988) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184117962.

Contact Information

Kelsey Gallo, MD
1000 Central St Ste 720,
Evanston, IL 60201-1779
(847) 503-3000
(847) 503-3500

Map and Direction




Physician's Profile

Full NameKelsey Gallo
GenderFemale
SpecialityUrology
Experience8 Years
Location1000 Central St Ste 720, Evanston, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelsey Gallo graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1184117962
  • Provider Enumeration Date: 06/07/2018
  • Last Update Date: 04/20/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6901300722
  • Enrollment ID: I20250916002182

Medical Identifiers

Medical identifiers for Kelsey Gallo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184117962NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 036176988 (Illinois)Primary
2088F0040XUrology - Female Pelvic Medicine And Reconstructive Surgery 036176988 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northshore University Healthsystem - Evanston HospitalEvanston, ILHospital
Swedish Covenant HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Endeavor Health Medical Group21633346993372

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsey Gallo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelsey Gallo, MD
2650 Ridge Ave # 1223,
Evanston, IL 60201-1700

Ph: () -
Kelsey Gallo, MD
1000 Central St Ste 720,
Evanston, IL 60201-1779

Ph: (847) 503-3000

Reviews and Comments


Urology Doctors in Evanston, IL

Mark Jonathan Schacht, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 800 Austin St, Suite 569e, Evanston, IL 60202
Phone: 847-328-5600    Fax: 847-328-9129
Thomas C. Keeler, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 1000 Central St, Suite 720, Evanston, IL 60201
Phone: 847-475-8600    Fax: 847-475-8654
Peter Thomas Vaselopulos, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 800 Austin St, Suite 569, Evanston, IL 60202
Phone: 847-328-5600    Fax: 473-288-4740
Charles B. Brendler, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 2650 Ridge Ave, Walgreen Building Suite 2507, Evanston, IL 60201
Phone: 847-570-2560    Fax: 847-570-2930
Leon Gershon Lome, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 800 Austin St, Suite 457e, Evanston, IL 60202
Phone: 847-328-8884    Fax: 847-328-9129

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.