Active NPI
Rajendra S Gogia, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 036092302
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 59.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1453 |
| Removal of skin lesions | 39 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036092302 | IL | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Wound Care Institute-Illinois | Current | Accepting new patients | |
| United Woundcare Institute Alabama PLLC | Current | Accepting new patients | |
| Pacific Wound Care Inc. | Current | Accepting new patients | |
| United Woundcare Institute Pennsylvania PLLC | Current | Accepting new patients | |
| United Woundcare Institute Tennessee PLLC | Current | Accepting new patients | |
| Patel Family Medicine LLC | Current | Accepting new patients | |
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Nova Medico S.C. | Pain Medicine | Current | 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
- 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.
-
- Nephrology Physician
- Monrovia, CA
- NPI 1891687638
-
- Hospitalist Physician
- Bala Cynwyd, PA
- NPI 1386460764
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Park Ridge, IL
- NPI 1871689208
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1669257440
-
- Clinic/Center
- Plymouth, IN
- NPI 1225348584
-
- Hospitalist Physician
- Huntsville, AL
- NPI 1821814807
-
- Hospitalist Physician
- Nashville, TN
- NPI 1386460392
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.