Individual provider Active NPI

Gonchigari Narayana, MD

  • Psychiatry Physician
  • Moline, IL
National Provider Identifier
1124016902
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
30780 Issued in IA
Practice address
4350 7TH Street a
Moline, IL 61265
Phone
(566) 355-9191
Fax
(563) 355-3419
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 30780 IA Primary
Psychiatry Physician 2084P0800X 036079304 IL
Psychiatry Physician 2084P0800X A48452 CA

Addresses

Primary practice location

4350 7TH Street a
Moline, IL 61265

Mailing address

4350 7TH Street a
Moline, IL 61265
Phone (566) 355-9191

Other identifiers 3

IdentifierTypeStateIssuer
42884OtherIAWELLMARK HEALTH PLAN
3136002MedicaidIA
IA01B1OtherJOHN DEERE HEALTH PLAN

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
I20090109000479 IL Practitioner - Psychiatry 3678577350 Reassigns benefits to 2 organizations
Practice locations: Moline, IL

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4350 7TH St
Suite E
Moline, IL 61265-6870
Phone (309) 964-5040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Robert Young Center for Community Mental Health Psychiatry CurrentSince Feb 18, 2022 Accepting new patients
The Robert Young Center for Community Mental Health Current Accepting new patients
Trinity Medical Center Psychiatry CurrentSince Apr 1, 2013 Accepting new patients
Trinity Medical Center CurrentSince Apr 1, 2013 Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince Feb 18, 2022 Accepting new patients
Quad Cities Mental Health PastSince Jan 1, 1990 Accepting new patients
Trinity Medical Center Psychiatry Past Accepting new patients

Locations

4600 3rd St
Moline, IL 61265
Phone (309) 779-3000

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

2560 24th St
Ste 101
Rock Island, IL 61201
Phone (309) 779-3970

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBIGBA/Endpoint/FBIGBA

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1124016902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 7TH STREET A",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "566-355-9191",
            "fax_number": "563-355-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 7TH STREET A",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "566-355-9191",
            "fax_number": "563-355-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAYANA",
        "first_name": "GONCHIGARI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "30780",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036079304",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A48452",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK HEALTH PLAN",
            "identifier": "42884",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3136002",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH PLAN",
            "identifier": "IA01B1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.