Individual provider Active NPI

Rajendra S Gogia, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Park Ridge, IL
National Provider Identifier
1699861013
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
036092302 Issued in IL
Practice address
1420 Renaissance Dr
Suite 207
Park Ridge, IL 60068-1330
Phone
(847) 296-6161
Fax
(847) 574-7487
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 036092302 IL Primary

Addresses

Primary practice location

1420 Renaissance Dr
Suite 207
Park Ridge, IL 60068-1330

Mailing address

PO Box 1124
Northbrook, IL 60065-1124
Phone (847) 296-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AL, PA, MO, CA, NJ, TN7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20071219000052 IL Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 3779673462
I20250428003504 AL Practitioner - Physical Medicine and Rehabilitation 3779673462
I20250606002032 PA Practitioner - Physical Medicine and Rehabilitation 3779673462 Reassigns benefits to 1 organization
I20251126001415 MO Practitioner - Physical Medicine and Rehabilitation 3779673462 Reassigns benefits to 1 organization
I20251217004677 CA Practitioner - Physical Medicine and Rehabilitation 3779673462 Reassigns benefits to 2 organizations
I20251229002936 NJ Practitioner - Physical Medicine and Rehabilitation 3779673462 Reassigns benefits to 1 organization
I20260102003514 TN Practitioner - Physical Medicine and Rehabilitation 3779673462

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1480 Renaissance Dr
Suite 211
Park Ridge, IL 60068-1332

1480 Renaissance Dr
Suite 211
Park Ridge, IL 60068-1353

17177 N Laurel Park Dr
Livonia, MI 48152-3938

PO Box
Chicago, IL 60674

PO Box
Chicago, IL 60680

Merit-based Incentive Payment System (MIPS)

Final score
97.89 of 100Reported as group
Quality
100
Improvement activities
40
Cost
59.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1453
Removal of skin lesions39
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036092302ILMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Wound Care Institute-Illinois CurrentSince Jul 11, 2024 Accepting new patients
United Woundcare Institute Alabama PLLC CurrentSince Apr 1, 2025 Accepting new patients
Pacific Wound Care Inc. CurrentSince Nov 9, 2025 Accepting new patients
United Woundcare Institute Pennsylvania PLLC CurrentSince Jun 1, 2025 Accepting new patients
United Woundcare Institute Tennessee PLLC CurrentSince Nov 2, 2025 Accepting new patients
Patel Family Medicine LLC CurrentSince Jun 1, 2025 Accepting new patients
Healing Partners Plus PLLC CurrentSince Sep 10, 2025 Accepting new patients
Nova Medico S.C. Pain Medicine CurrentSince Oct 10, 2001 Accepting new patients

Locations

4100 Market St
Ste 100
Huntsville, AL 35808
Phone (256) 274-0382

803 Camarillo Springs Rd
Camarillo, CA 93012

2020 Calamos Ct
Ste 250
Naperville, IL 60563

1480 Renaissance Dr
Ste 211
Park Ridge, IL 60068
Phone (847) 296-6161

1420 Renaissance Dr
Ste 207
Park Ridge, IL 60068
Phone (847) 296-6161

105 Water St
Plymouth, IN 46563
Phone (574) 540-2052

100 S 4th St
Ste 550
Saint Louis, MO 63102
Phone (314) 391-2626

1299 Farnam St
Omaha, NE 68102
Phone (531) 210-0028

331 Newman Springs Rd
Ste 320
Red Bank, NJ 07701
Phone (646) 450-7641

150 Monument Rd
Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13629/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1699861013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1124",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600651124",
            "telephone_number": "847-296-6161",
            "fax_number": "847-574-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR",
            "address_2": "SUITE 207",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681330",
            "telephone_number": "847-296-6161",
            "fax_number": "847-574-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGIA",
        "first_name": "RAJENDRA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IL",
            "license": "036092302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.