Sandeep Narayan Gaonkar, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036099362 Issued in IL

Practice address

1560 Wall St Ste 304
Naperville, IL 60563-1262

Phone

(630) 416-8289

Fax

(630) 416-8306

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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

Specialty

Psychiatry

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Conventions Psychiatry and Counseling PCGroup PAC ID 0143113027, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Conventions Psychiatry & Counseling, P.C.

  • Psychiatry Physician
  • Warrenville, IL
  • NPI 1053355289

  IL, Psychiatry

  Medicare reassignment Care Compare group NPD Authorized official
• Associates in Psychiatry and Counseling, PC

  • Mental Health Counselor
  • Elgin, IL
  • NPI 1750404935
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1124084967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 WALL ST STE 304",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631262",
            "telephone_number": "630-416-8289",
            "fax_number": "630-416-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 WALL ST STE 304",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631262",
            "telephone_number": "630-416-8289",
            "fax_number": "630-416-8306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4South100 State Route 59",
            "address_2": "Unit 6",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "60563",
            "country_code": "US",
            "telephone_number": "630-416-8289 x2",
            "fax_number": "630-416-8306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAONKAR",
        "first_name": "SANDEEP",
        "middle_name": "NARAYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036099362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099362",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "conventionspc.com",
            "affiliation": "Y",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1560 Wall St Ste 304",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605631262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "conventionspc",
            "affiliation": "Y",
            "affiliationName": "Conventions Psychiatry & Counseling, P.C.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "conventionspc.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "conventionspc.com",
            "address_1": "1560 Wall St Ste 304",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605631262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amulya Gampa, M.D.
• Rani Ganesan, M.D.
• Poornima Swamy Gangaji, DMD
• Meredith Gantos, DDS, FAGD.
• Balamoorti N Gaonkar, M.D.
• Robin Lee Garber, MA, ATR, LCPC
• Phillip T Garbis, LPTA
• Angel M Garcia Otano, MD
• Benjamin S Garcia, DO
• Daniela Garcia, FNP

• Psychiatry Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.

Verify at the official NPI Registry.