Individual provider Active NPI

Paul G Perona, MD

  • Orthopaedic Surgery Physician
  • Ottawa, IL
National Provider Identifier
1558476010
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036084323 Issued in IL
Practice address
1306 Gemini Cir Ste 2
Ottawa, IL 61350-1695
Phone
(815) 433-0850
NPI assigned
Aug 21, 2006
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036084323 IL Primary

Addresses

Primary practice location

1306 Gemini Cir Ste 2
Ottawa, IL 61350-1695

Mailing address

600 E 1St St
Spring Valley, IL 61362-1512
Phone (815) 663-8009

Other practice location 1

600 E 1st St
Spring Valley, IL 61362-1512
Phone (815) 663-8009

Other practice location 2

920 West St Ste 221
Peru, IL 61354-2763
Phone (815) 221-1304

Other practice location 3

150 W High St
Morris, IL 60450-1497
Phone (815) 942-2932

Other identifiers 1

IdentifierTypeStateIssuer
036084323MedicaidIL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090521000194 IL Practitioner - Orthopedic Surgery 5193894533 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1050 E Norris Dr
Suite 3a Ortho
Ottawa, IL 61350-1646
Phone (815) 431-5746

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement38
Knee replacement55
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Hospital CurrentSince Jul 10, 2023 Accepting new patients
Morris Hospital Current Accepting new patients
Morris Hospital CurrentSince Jul 10, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Morris Hospital Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 3, 2025 Accepting new patients
Cardinal Medical Group, LTD. Past Accepting new patients

Locations

389 E Main St
Braidwood, IL 60408
Phone (815) 458-2532

1405 E 12th St
Mendota, IL 61342
Phone (815) 538-7200

150 W High St
Morris, IL 60450
Phone (815) 942-2129

725 School St
Ste A
Morris, IL 60450

1050 E Norris Dr
Ste 3A
Ottawa, IL 61350
Phone (815) 431-5746

1306 Gemini Cir
Ste 2
Ottawa, IL 61350
Phone (815) 431-9980

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

920 West St
Ste 221
Peru, IL 61354
Phone (815) 221-1304

600 E 1st St
Spring Valley, IL 61362
Phone (815) 664-1477

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1558476010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E 1ST ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621512",
            "telephone_number": "815-663-8009",
            "fax_number": "815-663-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 GEMINI CIR STE 2",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501695",
            "telephone_number": "815-433-0850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "IL",
            "postal_code": "613621512",
            "country_code": "US",
            "telephone_number": "815-663-8009",
            "fax_number": "815-663-0014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 West St Ste 221",
            "address_purpose": "LOCATION",
            "city": "Peru",
            "state": "IL",
            "postal_code": "613542763",
            "country_code": "US",
            "telephone_number": "815-221-1304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 W High St",
            "address_purpose": "LOCATION",
            "city": "Morris",
            "state": "IL",
            "postal_code": "604501497",
            "country_code": "US",
            "telephone_number": "815-942-2932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERONA",
        "first_name": "PAUL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036084323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084323",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, IL

Sources for this page

Verify at the official NPI Registry.