Active NPI
Alvin Joseph Gonzales Dandan, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Quincy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 036151231
- Practice address
- 1005 Broadway St
Quincy, IL 62301-2834 - Phone
- (217) 223-8400
- Fax
- (217) 277-8988
- NPI assigned
- Jul 12, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036151231 | IL | Primary |
| Pulmonary Disease Physician | 207RP1001X | 036151231 | IL | |
| Internal Medicine Physician | 207R00000X | 036151231 | IL |
Addresses
Primary practice location
1005 Broadway St
Quincy, IL 62301-2834
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Other practice location 1
927 Broadway St
Quincy, IL 62301-2719
Phone (217) 214-6267
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- 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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blessing Hospital
Practice addresses (Care Compare)
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
5666 E State St
Rockford, IL 61108-2425
Phone (815) 921-8929
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Blessing Hospital
- Saint Anthony Medical Center
- SSM Health St Mary'S Hospital - St Louis
- Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Current | Accepting new patients | |
| West Central Pathology Specialists, S.C. | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Cogent Healthcare of Missouri, Inc | Critical Care Medicine | Current | Accepting new patients |
| SSM Health Care Group | Internal Medicine | Current | Accepting new patients |
| Quincy Clinical Laboratory Services SC | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients |
Locations
437 E Grant St
Macomb, IL 61455
Phone (309) 837-3964
2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1005 Broadway St
Quincy, IL 62301
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Interoperability endpoints
- adandan421067@direct-ehr-ssmhc.com
- https://fhir.blessinghospital.com/R4/open-Prod
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Multi-Specialty Clinic/Center
- Quincy, IL
- NPI 1114471737
-
- Hospitalist Physician
- Quincy, IL
- NPI 1235656745
-
- Critical Care Medicine (Internal Medicine) Physician
- Fenton, MO
- NPI 1780961599
-
- Anatomic Pathology & Clinical Pathology Physician
- Quincy, IL
- NPI 1114773272
-
- Anatomic Pathology & Clinical Pathology Physician
- Quincy, IL
- NPI 1083895452
-
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1790739977
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1174835706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012834",
"telephone_number": "217-223-8400",
"fax_number": "217-223-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012834",
"telephone_number": "217-223-8400",
"fax_number": "217-277-8988"
}
],
"practiceLocations": [
{
"address_1": "927 Broadway St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "IL",
"postal_code": "623012719",
"country_code": "US",
"telephone_number": "217-214-6267",
"fax_number": "217-223-9045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANDAN",
"first_name": "ALVIN JOSEPH",
"middle_name": "GONZALES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-12",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036151231",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036151231",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036151231",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.