Fvo Primary LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FVO PRIMARY LLC

Practice address

1710 N Randall Rd Ste 140
Elgin, IL 60123-9401

Phone

(630) 584-1400

NPI assigned

Jun 6, 2023

Organization subpart

Yes

Parent organization

FOX VALLEY ORTHOPAEDIC ASSOCIATES, S.C.As reported in NPPES

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

Authorized official

Name

Debbie Navigato

Title

Credentialing Coordinator

Phone

(630) 938-4011

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Part of

Fox Valley Orthopedic Assoc

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Hernandez, M.D.

  • Internal Medicine Physician
  • Elgin, IL
  • NPI 1972501096
  Medicare reassignment Care Compare group NPD
• Amanda Jean Powell, RN, APN, FNP-C

  • Family Nurse Practitioner
  • Elgin, IL
  • NPI 1225676992
  Medicare reassignment Care Compare group NPD
• Shobhit Vishnoi Minhas, MD

  • Orthopaedic Hand Surgery Physician
  • Barrington, IL
  • NPI 1952791642
  NPD (past)

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1467146100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 KANEVILLE RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342578",
            "telephone_number": "630-584-1400",
            "fax_number": "630-584-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N RANDALL RD STE 140",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239401",
            "telephone_number": "630-584-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FVO PRIMARY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOX VALLEY ORTHOPAEDIC ASSOCIATES, S.C.",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "NAVIGATO",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "630-938-4011"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Froslid
• Carrie Frost
• Hortensia Fuentes, MSW
• Alison Fuerst, LPC
• Karen Fuglaar Hughes, OT
• Sierra A. Gabrys, LCPC
• Satyanarayana Gaddipati, M.D
• Roxanne Marie Gajewski, LPC
• Bill R Galanes, D.D.S.
• Mayra Teresa Galarza Acosta, LCSW

• Primary Care Clinic/Center in Elgin, IL
• Providers in Elgin, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.