NPIMap

Individual provider Active NPI

Rhonda Yvette Gans, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1003830670
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-085091 Issued in IL
Practice address
4829 S Cottage Grove Ave
Chicago, IL 60615-1600
Phone
(312) 646-6620
Fax
(773) 624-5642
NPI assigned
Jul 27, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-085091 IL Primary

Addresses

Primary practice location

4829 S Cottage Grove Ave
Chicago, IL 60615-1600

Mailing address

440 N McClurg CT Apt 112
Chicago, IL 60611-4352

Other practice location 1

11000 S Halsted St
Chicago, IL 60628-3909
Phone (773) 264-2236

Other identifiers 2

IdentifierTypeStateIssuer
11373711OtherILCAQH
036-085094MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rhonda.gans@direct.ccprovider.org Direct Cook County

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000648 IL Practitioner - Family Practice 2961465794 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rush Medical College of Rush University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook CountyGroup PAC ID 2860398088, 770 clinicians

Practice addresses (Care Compare)

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as group
Quality
74.7
Promoting interoperability
100
Improvement activities
40
Cost
85.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-085091ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Southtown Medical Group S C Family Medicine CurrentSince Feb 1, 2015 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Mount Sinai Community Foundation Family Medicine CurrentSince Nov 13, 2017 Accepting new patients
Foundation for Emergency Services CurrentSince May 1, 2016 Accepting new patients
Cook County Current Accepting new patients
Cook County Family Medicine CurrentSince Oct 2, 2019 Accepting new patients
Cook County CurrentSince Oct 2, 2019 Accepting new patients
Mount Sinai Community Foundation CurrentSince Nov 13, 2017 Accepting new patients
Foundation for Emergency Services CurrentSince May 1, 2016 Accepting new patients
Sullivan Urgent Aid Centers, LTD Past Accepting new patients
Prime Plus Lakeview LLC Past Accepting new patients

Locations

11000 S Halsted St
Chicago, IL 60628
Phone (773) 264-2236

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

8205 Cass Ave
Ste 110B
Darien, IL 60561
Phone (773) 840-4747

Interoperability endpoints

  • Direct secure messaging: rhonda.gans@direct.ccprovider.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1003830670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N MCCLURG CT APT 112",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 S COTTAGE GROVE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606151600",
            "telephone_number": "312-646-6620",
            "fax_number": "773-624-5642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11000 S Halsted St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606283909",
            "country_code": "US",
            "telephone_number": "773-264-2236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANS",
        "first_name": "RHONDA",
        "middle_name": "YVETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-03-07",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-085091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11373711",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-085094",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rhonda.gans@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.