Individual provider Active NPI

Vasantha L Gona, M.D.

  • Internal Medicine Physician
  • Sycamore, IL
National Provider Identifier
1114983798
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036099204 Issued in IL
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

Updated by the provider on Feb 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070212000389 FL Practitioner - Internal Medicine 7214939834 Reassigns benefits to 1 organization
I20080710000728 IL Practitioner - Internal Medicine 7214939834 Reassigns benefits to 3 organizations

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
CGH Medical CenterGroup PAC ID 6103723267, 199 clinicians
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians

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

LicenseStateTypeSpecialty
ME95614FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
CGH Medical Center Current Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Apr 18, 2016 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
24 On Physicians, PC CurrentSince Jun 1, 2016 Accepting new patients
24 On Physicians, P.C. CurrentSince Jun 1, 2016 Accepting new patients
CGH Medical Center CurrentSince Jan 28, 2022 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Apr 18, 2016 Accepting new patients
CGH Medical Center CurrentSince Jan 28, 2022 Accepting new patients
Florida Medical Associates LLC PastSince Jul 7, 2008 Accepting new patients
West Suburban Dermatology & Cosmetic Surgery PastSince Jun 2, 2008 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

  • Direct secure messaging: vgona143@yourcarecommunity.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.