Active NPI
Thomas L Vongillern, M.D.
- Orthopaedic Hand Surgery Physician
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 036062158
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1602943 | Other | FIRST HEALTH | |
| P00756425 | Other | IA | RAILROAD MEDICARE |
| 020376 | Other | HEALTH ALLIANCE | |
| 0910729 | Medicaid | IA | |
| 8121085 | Other | IL | BCBS |
| 05283 | Other | WELLMARK | |
| 17658 | Other | MIDLANDS CHOICE | |
| 036062158 | Medicaid | IL | |
| 20177 | Other | IA HEALTH SOLUTIONS | |
| 91390 | Other | WELLMARK | |
| 99205 | Other | WELLMARK | |
| 200011702 | Other | RR MEDICARE | |
| IA0189 | Other | IA | JOHN DEERE FAMILY |
| S50606 | Other | IL | JOHN DEERE FAMILY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hand 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
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
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 29517 | IA | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ora Orthopedics PC | Orthopaedic Surgery | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Ora Orthopedics, PC | Orthopaedic Surgery | Current | 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
- tvongillern@ora2099.srs-direct.com
- 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.
-
- Orthopaedic Surgery Physician
- De Witt, IA
- NPI 1043281355
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Diagnostic Radiology Physician
- Rock Island, IL
- NPI 1790773539
-
dba Crow Valley Orthopaedic Surgery Center
- Ambulatory Surgical Clinic/Center
- Bettendorf, IA
- NPI 1528142726
-
- Orthopaedic Surgery Physician
- Durant, IA
- NPI 1639159700
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
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
- Pamela S. Vipond, APRN
- Virdi Dental (Sweet Lime LLC)
- Manisha Virdi, DDS
- Andrea Viren
- Julie Lynn Voelker, M.D.
- Vortech Health Inc (Rexroth Chiropractic Clinic)
- Vroman Orthodontics, P.C. (Maura Milas Vroman, D.D.S., M.S.)
- Maura Josephine Vroman, D.D.S., M.S.
- Sheri Lynn Vroman, CRT, RCP
- Kelly Waack, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.