Active NPI
Jyothi Gogineni, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Huntley, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 036-122492
- Practice address
- 10370 Haligus Rd Ste 117
Huntley, IL 60142 - Phone
- (815) 338-6600
- Fax
- (847) 702-7207
- NPI assigned
- Aug 14, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036-122492 | IL | Primary |
Addresses
Primary practice location
10370 Haligus Rd Ste 117
Huntley, IL 60142
Mailing address
10370 Haligus Rd Ste 117
Huntley, IL 60142-9582
Phone (815) 338-6600
Other practice location 1
360 Station Dr Fl 3
Crystal Lake, IL 60014-7978
Phone (815) 338-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036122492 | Other | IL | STATE LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10370 Haligus Rd
Huntley, IL 60142-9582
10400 Haligus Rd
Huntley, IL 60142-9553
Phone (815) 356-2323
10450 Algonquin Rd
Huntley, IL 60142-7064
Phone (815) 444-2900
1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 933-4800
360 Station Dr
Suite 300
Crystal Lake, IL 60014-8003
Phone (847) 802-7070
4201 W Medical Ctr Dr
McHenry, IL 60050-8409
Phone (815) 759-4874
4309 W Medical Ctr Dr
Suite A200
McHenry, IL 60050-8437
Phone (815) 759-8070
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
- Northwestern Medicine McHenry
- Northwestern Lake Forest Hospital
- Advocate Good Shepherd Hospital
- Northwestern Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-122492 | IL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
360 Station Dr
Fl 3
Crystal Lake, IL 60014
Phone (815) 759-8070
360 Station Dr
Ste 300
Crystal Lake, IL 60014
Phone (815) 455-1800
11650 S State Route 47
Huntley, IL 60142
Phone (847) 802-7300
10370 Haligus Rd
Ste 117
Huntley, IL 60142
Phone (815) 344-3900
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Endocrinology, Diabetes & Metabolism
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Barrington, IL
- NPI 1447368071
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1265624282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10370 HALIGUS RD STE 117",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "601429582",
"telephone_number": "815-338-6600",
"fax_number": "847-702-7207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10370 HALIGUS RD STE 117",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "60142",
"telephone_number": "815-338-6600",
"fax_number": "847-702-7207"
}
],
"practiceLocations": [
{
"address_1": "360 Station Dr Fl 3",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "600147978",
"country_code": "US",
"telephone_number": "815-338-6600",
"fax_number": "815-356-2388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOGINENI",
"first_name": "JYOTHI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "036-122492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "036122492",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntley, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.