Monica E Gavran, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-101601 Issued in IL

Practice address

1925 Huntley Rd
West Dundee, IL 60118-9301

Phone

(815) 338-6600

Fax

(847) 428-7425

NPI assigned

Oct 26, 2006

Sex

Female

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

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

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.

• Mercy Health System Corporation

  dba MHS Physician Services

  • Multi-Specialty Clinic/Center
  • Janesville, WI
  • NPI 1598718603

  IL

  Medicare reassignment NPD
• Mercy Health System Corporation

  dba Mercy Walworth Hospital and Medical Center

  • Critical Access Hospital
  • Lake Geneva, WI
  • NPI 1699728550
  NPD
• Leo a. Reyes, M.D.,P.C.

  • General Practice Physician
  • Woodstock, IL
  • NPI 1083919419
  NPD (past)
• Midwest Lakes Medical Center, SC

  • Internal Medicine Physician
  • Crystal Lake, IL
  • NPI 1417121500
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1326123530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 HUNTLEY RD",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601189301",
            "telephone_number": "815-338-6600",
            "fax_number": "847-428-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 HUNTLEY RD",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601189301",
            "telephone_number": "815-338-6600",
            "fax_number": "847-428-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVRAN",
        "first_name": "MONICA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-101601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101601 2",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen T Fotso-Kouatchou, MD
• Rosemary Frank
• Hong Zhang Frankel, M.D.
• Sierra Franklin, RBT
• Pallavi Gangupantula, P.T
• George F Deihs III DDS PC
• Benjamin Michael Gesing, PSYD
• Paul Getz, MD
• Julie A Glass, LCSW
• Jennifer Glasshagel, FNP-BC

• Internal Medicine Physician in West Dundee, IL
• Providers in West Dundee, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.