Gordon C Newsom, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036097435 Issued in IL

Practice address

2350 Royal Blvd
Suite 100
Elgin, IL 60123-4719

Phone

(847) 695-8100

Fax

(847) 695-6808

NPI assigned

Dec 19, 2006

Sex

Male

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

Electronic endpoints 2

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

Specialty

Internal Medicine

Education

Illinois Medical College, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Elio M Vento MD and Associates SCGroup PAC ID 4284688748, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
• Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030
• Saint Joseph Hospital-Elgin Hospital, Elgin, IL, CCN 140217
• Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
• Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
• Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21874/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/FDBJBA

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.

• Elio M Vento MD & Associates SC

  • Internal Medicine Physician
  • Elgin, IL
  • NPI 1063635431
  Medicare reassignment Care Compare group NPD
• Kare Hospital Medicine LLC

  • Hospitalist Physician
  • Hoffman Estates, IL
  • NPI 1346450194

  Internal Medicine

  Medicare reassignment NPD
• Cardinalight Health, LLC

  • Family Nurse Practitioner
  • Crystal Lake, IL
  • NPI 1760956726
  NPD (past)
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advocate Health and Hospitals Corporation

  • General Acute Care Hospital
  • Park Ridge, IL
  • NPI 1164539730
  Care Compare affiliation
• Advocate Sherman Hospital

  • General Acute Care Hospital
  • Elgin, IL
  • NPI 1629026364
  Care Compare affiliation
• Central Dupage Hospital Association

  • General Acute Care Hospital
  • Winfield, IL
  • NPI 1003864810
  Care Compare affiliation
• Central Dupage Hospital Association

  • Psychiatric Hospital Unit
  • Winfield, IL
  • NPI 1740230895
  Care Compare affiliation
• Ehs Home Health Care Service Inc

  • Home Health Agency
  • Oak Brook, IL
  • NPI 1598732075
  Care Compare affiliation
• Kishwaukee Community Hospital

  • General Acute Care Hospital
  • Dekalb, IL
  • NPI 1669534517
  Care Compare affiliation
• Saint Joseph Hospital - Elgin LLC

  • General Acute Care Hospital
  • Elgin, IL
  • NPI 1922846351
  Care Compare affiliation
• Sherman Hospital

  • Skilled Nursing Facility
  • Elgin, IL
  • NPI 1275584302

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1508929480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 ROYAL BLVD",
            "address_2": "SUITE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234719",
            "telephone_number": "847-695-8100",
            "fax_number": "847-695-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 ROYAL BLVD",
            "address_2": "SUITE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234719",
            "telephone_number": "847-695-8100",
            "fax_number": "847-695-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "GORDON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036097435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036097435",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gnewsom288312@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2350 Royal Blvd",
            "address_2": "Suite 100",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601234719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2350 Royal Blvd",
            "address_2": "Suite 100",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601234719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• New Beginnings Counseling Care, PLLC
• Susan M Newberry, CADC, CODP 1, CHAA
• Daniel Newbrander, PA-C
• Scott Newcomb, DPM
• Yolanda Newell
• Nexgen Labs Inc
• Charly Nguyen, M.D.
• Rubina D Nguyen, D.D.S.
• Esmeralda Nicanor
• Lindsay Nickels

• Internal Medicine Physician in Elgin, IL
• Providers in Elgin, 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 Dec 29, 2021; 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.

Verify at the official NPI Registry.