Individual provider Active NPI

Goyanka Ranganathan, MD

  • Internal Medicine Physician
  • Silvis, IL
National Provider Identifier
1639780968
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.165740 Issued in IL
Practice address
801 Illini Dr
Silvis, IL 61282-1804
Phone
(309) 281-4000
NPI assigned
Aug 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.165740 IL Primary

Addresses

Primary practice location

801 Illini Dr
Silvis, IL 61282-1804

Mailing address

801 Illini Dr
Silvis, IL 61282-1804
Phone (734) 793-2470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230922003464 IL Practitioner - Internal Medicine 7719331834 Reassigns benefits to 1 organization
I20260413002479 IA Practitioner - Internal Medicine 7719331834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Mercyone Genesis
Davenport, IA 52803-2459
Phone (563) 421-1000

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

Hospital & facility affiliations

  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Hammond Henry Hospital Hospital, Geneseo, IL, CCN 141319
  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Genesis Medical Center, Aledo Hospital, Aledo, IL, CCN 141304

Merit-based Incentive Payment System (MIPS)

Final score
34.85 of 100Reported as group
Quality
21.4
Improvement activities
0
Cost
76.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.165740ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Sep 5, 2023 Accepting new patients

Locations

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Organizations & group practices 2

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.

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1639780968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ILLINI DR",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821804",
            "telephone_number": "734-793-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ILLINI DR",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821804",
            "telephone_number": "309-281-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGANATHAN",
        "first_name": "GOYANKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.165740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silvis, IL

Sources for this page

Verify at the official NPI Registry.