Gaurav Nigam, MD
Individual provider Active NPI Internal Medicine Physician · Flora, IL
NPI 1437445947 · NPPES record last updated Feb 9, 2024
Key facts
- NPI
- 1437445947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD2018-0881 (NM)
- Practice address
- 911 Stacy Burk Drive
Flora, IL 62839 - Phone
- (618) 662-2131
- Fax
- (618) 662-1473
- NPI assigned
- Jun 22, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwest Hospital Medicine Physicians LLC
Practice addresses (Care Compare)
3917 W Rd
Los Alamos, NM 87544-2275
Phone (505) 662-4201
Hospital & facility affiliations
- Los Alamos Medical Center
- Christus St Vincent Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in IL, NM, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151015002262 | IL | Practitioner - Family Practice | 4385953215 | Reassigns benefits to 3 organizations |
| I20190104000895 | NM | Practitioner - Family Practice | 4385953215 | Reassigns benefits to 3 organizations |
| I20221012000384 | MN | Practitioner - Family Practice |
4385953215 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Texas, PLLC | Family Medicine | Current |
Accepting new patients |
| Welia Health | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Internal Medicine | Current |
Accepting new patients |
| Range Regional Health Services | Current |
Accepting new patients | |
| Granite City Hospitalist Services LLC | Current |
Accepting new patients | |
| Welia Health | Current |
Accepting new patients | |
| Northwest Hospital Medicine Physicians LLC | Internal Medicine | Current |
Accepting new patients |
| Statera Health Care, LLC | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Family Medicine | Current |
Accepting new patients |
| Integritas Emergency Physician Services, LLC | Current |
Accepting new patients | |
| Range Regional Health Services | Current |
Accepting new patients | |
| Sleepfirst LLC | Current |
Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Internal Medicine | Past | Accepting new patients |
| PHC-Los Alamos Inc | Past | Accepting new patients |
Locations
1605 E Plaza Dr
Ste 103
Tallahassee, FL 32308
Phone (850) 878-0644
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
900 N Washington St
Du Quoin, IL 62832
Phone (618) 542-1050
911 Stacey Burk Dr
Flora, IL 62839
Phone (618) 662-2161
2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000
3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020
611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146
8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584
4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234
Interoperability endpoints
- gniga@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD2018-0881 | NM | Yes |
Addresses
Primary practice location
911 Stacy Burk Drive
Flora, IL 62839
Mailing address
1605 E Plaza Dr
Ste 103
Tallahassee, FL 32308-5327
Phone (850) 878-7271
Other providers in Flora, IL
- Marissa Lynnae Maxham
- Karen Louise McAllister
- Tina McGee
- Michelle Morgan
- Christopher Paul Murbarger
- Haskell J. Nutgrass Jr.
- Sarah Osborn
- Bryce Pearce
- Jessica Perry
- Petersen Companies, LLC
All providers in Flora, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.