Individual provider Active NPI

Thomas L Vongillern, M.D.

  • Orthopaedic Hand Surgery Physician
  • Moline, IL
National Provider Identifier
1710965223
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
036062158 Issued in IL
Practice address
520 Valley View Dr
Moline, IL 61265-6152
Phone
(309) 762-3621
Fax
(309) 762-3690
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 036062158 IL Primary
Orthopaedic Hand Surgery Physician 207XS0106X 29517 IA
Orthopaedic Surgery Physician 207X00000X 036062158 IL
Orthopaedic Surgery Physician 207X00000X 29517 IA

Addresses

Primary practice location

520 Valley View Dr
Moline, IL 61265-6152

Mailing address

520 Valley View Dr
Moline, IL 61265-6194
Phone (309) 762-3621

Other identifiers 14

IdentifierTypeStateIssuer
1602943OtherFIRST HEALTH
P00756425OtherIARAILROAD MEDICARE
020376OtherHEALTH ALLIANCE
0910729MedicaidIA
8121085OtherILBCBS
05283OtherWELLMARK
17658OtherMIDLANDS CHOICE
036062158MedicaidIL
20177OtherIA HEALTH SOLUTIONS
91390OtherWELLMARK
99205OtherWELLMARK
200011702OtherRR MEDICARE
IA0189OtherIAJOHN DEERE FAMILY
S50606OtherILJOHN DEERE FAMILY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 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
I20040503001497 IA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 8628967601 Reassigns benefits to 1 organization
I20041028000458 IL Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 8628967601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
University of Iowa, RJ & L Carver College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ora Orthopedics PCGroup PAC ID 6406741784, 119 clinicians

Practice addresses (Care Compare)

520 Valley View Dr
Moline, IL 61265-6194
Phone (309) 762-3621

6101 Northwest Blvd
Davenport, IA 52806-1861
Phone (563) 322-0971

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29517IAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ora Orthopedics PC Orthopaedic Surgery CurrentSince Mar 1, 2004 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Ora Orthopedics, PC Orthopaedic Surgery CurrentSince Mar 1, 2004 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Advanced Radiology, S.C. Past Accepting new patients
Ora Orthopedics, PC Orthopaedic Surgery Past Accepting new patients
Genortho, LLC Past Accepting new patients

Locations

2300 53rd Ave
Ste 100
Bettendorf, IA 52722
Phone (563) 459-4005

2300 53rd Ave
Ste LL01
Bettendorf, IA 52722
Phone (563) 441-7608

2300 53rd Ave
Ste LL04
Bettendorf, IA 52722

3565 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 441-9982

2900 S 25th St
Ste B2
Clinton, IA 52732
Phone (563) 278-8830

6101 Northwest Blvd
Davenport, IA 52806
Phone (563) 449-7004

1414 W Lombard St
Davenport, IA 52804
Phone (563) 326-6431

900 14th St
De Witt, IA 52742
Phone (563) 659-1579

3426 N Port Dr
Ste 400
Muscatine, IA 52761
Phone (563) 264-9185

600 N College Ave
Ste 110
Geneseo, IL 61254
Phone (309) 944-1595

1225 S Oakwood Ave
Ste 7B
Geneseo, IL 61254
Phone (309) 762-3621

520 Valley View Dr
Ste 400
Moline, IL 61265

520 Valley View Dr
Moline, IL 61265
Phone (309) 762-1952

520 Valley View Dr
Ste 100
Moline, IL 61265
Phone (309) 762-3621

600 Valley View Dr
Moline, IL 61265
Phone (309) 757-7196

510 Valley View Dr
Moline, IL 61265
Phone (309) 762-3621

985 Avenue of the Cities
Ste 105
Silvis, IL 61282
Phone (309) 762-3621

Interoperability endpoints

  • Direct secure messaging: tvongillern@ora2099.srs-direct.com
  • Direct secure messaging: tvongillern92551@direct.unitypoint.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1710965223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656194",
            "telephone_number": "309-762-3621",
            "fax_number": "309-762-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656152",
            "telephone_number": "309-762-3621",
            "fax_number": "309-762-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONGILLERN",
        "first_name": "THOMAS",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "IL",
            "license": "036062158",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "IA",
            "license": "29517",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036062158",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "29517",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1602943",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00756425",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "020376",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0910729",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8121085",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "05283",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "17658",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062158",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA HEALTH SOLUTIONS",
            "identifier": "20177",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "91390",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "99205",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200011702",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE FAMILY",
            "identifier": "IA0189",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE FAMILY",
            "identifier": "S50606",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.