Active NPI
Vasantha L Gona, M.D.
- Internal Medicine Physician
- Sycamore, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036099204
- Practice address
- 2128 Midlands CT
Suite 106
Sycamore, IL 60178-3199 - Phone
- (815) 756-1434
- Fax
- (815) 756-4766
- NPI assigned
- Apr 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME95614 | FL | |
| Internal Medicine Physician | 207R00000X | 036099204 | IL | Primary |
Addresses
Primary practice location
2128 Midlands CT
Suite 106
Sycamore, IL 60178-3199
Mailing address
2128 Midlands CT
Suite 106
Sycamore, IL 60178-3199
Phone (815) 756-1434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Le Fevre Rd
Sterling, IL 61081-1278
Phone (815) 625-0400
100 E Lefevre Rd
Sterling, IL 61081-1278
101 E Miller Rd
Sterling, IL 61081-1252
Phone (815) 625-4790
1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 431-5380
1809 Locust St
Sterling, IL 61081-1101
Phone (815) 622-1210
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME95614 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CGH Medical Center | Current | Accepting new patients | |
| Cogent Healthcare of Jacksonville, LLC | Internal Medicine | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| 24 On Physicians, PC | Current | Accepting new patients | |
| 24 On Physicians, P.C. | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Jacksonville, LLC | Internal Medicine | Current | Accepting new patients |
| CGH Medical Center | Current | Accepting new patients | |
| Florida Medical Associates LLC | Past | Accepting new patients | |
| West Suburban Dermatology & Cosmetic Surgery | Past | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-8131
1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
500 W Romeo B Garrett Ave
Peoria, IL 61605
Phone (309) 624-8818
1809 Locust St
Sterling, IL 61081
Phone (815) 564-4002
100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400
101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285
1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000
Interoperability endpoints
- vgona143@yourcarecommunity.org
- vgona21304@cghmc.direct-ci.com
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 and National Provider Directory roles.
-
- Hospitalist Physician
- Ottawa, IL
- NPI 1346480431
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1124252333
-
dba CGH Medical Center-Morrison
- Durable Medical Equipment & Medical Supplies
- Morrison, IL
- NPI 1447415724
-
dba CGH Medical Center-Main Clinic
- Family Medicine Physician
- Sterling, IL
- NPI 1548540636
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Internal Medicine Physician
- Port Orange, FL
- NPI 1861150625
-
dba Clear Skin Dermatology
- Dermatology Physician
- St Charles, IL
- NPI 1477617207
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
dba OSF Saint Clare Medical Center
- Critical Access Hospital
- Princeton, IL
- NPI 1093308439
-
dba OSF Saint Elizabeth Medical Center
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1114983798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2128 MIDLANDS CT",
"address_2": "SUITE 106",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783199",
"telephone_number": "815-756-1434",
"fax_number": "815-756-4766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2128 MIDLANDS CT",
"address_2": "SUITE 106",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783199",
"telephone_number": "815-756-1434",
"fax_number": "815-756-4766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONA",
"first_name": "VASANTHA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-24",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME95614",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036099204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.