Individual provider Active NPI

Gudmundur Steinar Gudmundsson, M.D.

  • Cardiovascular Disease Physician
  • Aurora, IL
National Provider Identifier
1336172006
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
36100340 Issued in IL
Practice address
2088 Ogden Ave
Ste. 160
Aurora, IL 60504-4376
Phone
(630) 851-6440
Fax
(630) 851-7001
NPI assigned
Jul 8, 2006
Last updated
Sep 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 36100340 IL Primary
Nuclear Cardiology Physician 207UN0901X 36100340 IL
Body Imaging Physician 2085B0100X 36100340 IL
Diagnostic Ultrasound Physician 2085U0001X 36100340 IL

Addresses

Primary practice location

2088 Ogden Ave
Ste. 160
Aurora, IL 60504-4376

Mailing address

2040 Ogden Ave 313
Aurora, IL 60504-7205
Phone (630) 692-5208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36100340ILMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Cardiology Associates, LTD Cardiovascular Disease Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1336172006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 OGDEN AVE 313",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047205",
            "telephone_number": "630-692-5208",
            "fax_number": "630-499-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2088 OGDEN AVE",
            "address_2": "STE. 160",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044376",
            "telephone_number": "630-851-6440",
            "fax_number": "630-851-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDMUNDSSON",
        "first_name": "GUDMUNDUR",
        "middle_name": "STEINAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "36100340",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "IL",
            "license": "36100340",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "IL",
            "license": "36100340",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "IL",
            "license": "36100340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.