Individual provider Active NPI

John Dongas, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • New Lenox, IL
National Provider Identifier
1003864331
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
036070602 Issued in IL
Practice address
1890 Silver Cross Blvd
Pavilion a Suite 240
New Lenox, IL 60451-9524
Phone
(815) 740-1900
Fax
(815) 725-2413
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036070602 IL
Clinical Cardiac Electrophysiology Physician 207RC0001X 036070602 IL Primary

Addresses

Primary practice location

1890 Silver Cross Blvd
Pavilion a Suite 240
New Lenox, IL 60451-9524

Mailing address

1860 Paysphere Cir Ste 275
Chicago, IL 60674-6549
Phone (630) 469-2000

Other identifiers 1

IdentifierTypeStateIssuer
036070602MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000111 IL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 9537071717 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036070602ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Nov 1, 2016 Accepting new patients
Dupage Medical Group LTD CurrentSince Nov 1, 2016 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Loyola University Physician Foundation Past Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

1860 Paysphere Cir
Ste 275
Chicago, IL 60674

1100 31st St
Ste 300
Downers Grove, IL 60515

301 Madison St
Ste 207
Joliet, IL 60435

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

301 Madison St
Ste 275
Joliet, IL 60435

1890 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-2802

1890 Silver Cross Blvd
Ste 240
New Lenox, IL 60451
Phone (815) 485-4469

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1003864331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR STE 275",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606746549",
            "telephone_number": "630-469-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "PAVILION A SUITE 240",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519524",
            "telephone_number": "815-740-1900",
            "fax_number": "815-725-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONGAS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036070602",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036070602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036070602",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.