David A Gunzel, D.P.M.
Individual provider Active NPI Podiatrist · Eldorado, IL
NPI 1114948544 · NPPES record last updated Aug 31, 2020
Key facts
- NPI
- 1114948544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 016004187 (IL)
- Practice address
- 1201 Pine St
Eldorado, IL 62930-1634 - Phone
- (618) 297-9665
- Fax
- (618) 297-9638
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ferrell Hospital Community Foundation
Practice addresses (Care Compare)
1306 Maple St
Eldorado, IL 62930-1662
Phone 61827333611660
Hospital & facility affiliations
- Ferrell Hospital Community Foundations
- Herrin Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 343 |
| Removal of skin lesions | 12 |
| Removal of nail tissue | 369 |
| Removal or shaving of skin growth | 35 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060901000145 | IL | Practitioner - Podiatry | 4082618178 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ferrell Hospital Community Foundation | Podiatrist | Current |
Accepting new patients |
| Ferrell Hospital Community Foundation | Podiatrist | Current |
Accepting new patients |
| Ferrell Hospital Community Foundation | Current | Accepting new patients | |
| Ferrell Hospital Community Foundation | Past | Accepting new patients |
Locations
1201 Pine St
Eldorado, IL 62930
Phone (618) 273-3361
1300 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-9305
1306 Maple St
Eldorado, IL 62930
Phone (618) 273-2360
Interoperability endpoints
- dgunzel202722@direct.deaconess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016004187 | IL | Yes |
Addresses
Primary practice location
1201 Pine St
Eldorado, IL 62930-1634
Mailing address
1201 Pine St
Eldorado, IL 62930-1634
Phone (618) 297-9665
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480014099 | Other | IL | RR MEDICARE |
NPI Registry JSON
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1114948544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 PINE ST",
"city": "ELDORADO",
"state": "IL",
"postal_code": "629301634",
"telephone_number": "618-297-9665",
"fax_number": "618-297-9638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 PINE ST",
"city": "ELDORADO",
"state": "IL",
"postal_code": "629301634",
"telephone_number": "618-297-9665",
"fax_number": "618-297-9638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNZEL",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016004187",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "480014099",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eldorado, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.