Active NPI
Nayan S Gowda, MD
- Nephrology Physician
- Lombard, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 036128858
- Practice address
- 2340 S Highland Ave Ste 160
Lombard, IL 60148 - Phone
- (630) 495-9356
- Fax
- (630) 495-3770
- NPI assigned
- Sep 19, 2007
- Last updated
- Jan 25, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 036128858 | IL | Primary |
Addresses
Primary practice location
2340 S Highland Ave Ste 160
Lombard, IL 60148
Mailing address
120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 573-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 599673-01 | Medicaid | HI | |
| 036128858 | Medicaid | IL | |
| 0000269308 | Other | HI | HMSA BILLING NUMBER |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@nephdocs.com | Direct | |
| Direct Messaging Address | ngowda251509@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2340 S Highland Ave
Suite 160
Lombard, IL 60148-5395
Phone (630) 495-9356
901 Biesterfield Rd
Suite 310
Elk Grove Village, IL 60007-7324
Phone (847) 952-9332
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036128858 | IL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates of Northern Illinois, LTD. | Nephrology | Current | Accepting new patients |
| Nephrology Associates of Northern Illinois, LTD. | Nephrology | Current | Accepting new patients |
| Nani Elk Grove | Nephrology | Current | Accepting new patients |
| Linda Roberts & Associates Inc | Past | Accepting new patients |
Locations
3223 W 63rd St
Chicago, IL 60629
Phone (773) 735-4884
3825 Highland Ave
Ste 4C
Downers Grove, IL 60515
Phone (630) 968-1595
800 Biesterfield Rd
Ste 104
Elk Grove Village, IL 60007
Phone (847) 593-9182
901 Biesterfield Rd
Ste 310
Elk Grove Vlg, IL 60007
Phone (847) 437-7070
2340 S Highland Ave
Ste 160
Lombard, IL 60148
Phone (630) 495-9356
2340 S Highland Ave
Ste S160
Lombard, IL 60148
120 Spalding Dr
Ste 410
Naperville, IL 60540
Phone (630) 369-0780
120 W 22nd St
Oak Brook, IL 60523
120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ngowda49715@direct.acumenmd.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Oak Brook, IL
- NPI 1154675528
-
- Nephrology Physician
- Oak Brook, IL
- NPI 1124069182
-
- Nephrology Physician
- Oak Brook, IL
- NPI 1134319924
-
- Registered Dietitian
- Wheaton, IL
- NPI 1073832002
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Medical Care Lombard
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lombard, IL
- NPI 1952627259
Dialysis facility
-
dba Adventhealth Bolingbrook
- General Acute Care Hospital
- Bolingbrook, IL
- NPI 1164530465
-
- General Acute Care Hospital
- Hinsdale, IL
- NPI 1265465439
-
dba Adventhealth Hinsdale
- Psychiatric Hospital Unit
- Hinsdale, IL
- NPI 1447270780
-
dba Advocate Good Samaritan Hospital
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
-
dba Advocate Illinois Masonic Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1912014564
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1922294388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W 22ND ST STE 200",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231563",
"telephone_number": "630-573-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 S HIGHLAND AVE STE 160",
"city": "LOMBARD",
"state": "IL",
"postal_code": "60148",
"telephone_number": "630-495-9356",
"fax_number": "630-495-3770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOWDA",
"first_name": "NAYAN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-19",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "036128858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "599673-01",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036128858",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BILLING NUMBER",
"identifier": "0000269308",
"state": "HI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@nephdocs.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "120 W 22nd St Ste 200",
"city": "Oak Brook",
"state": "IL",
"country_code": "US",
"postal_code": "605231563",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ngowda251509@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2340 S Highland Ave Ste 160",
"city": "Lombard",
"state": "IL",
"country_code": "US",
"postal_code": "60148",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2340 S Highland Ave Ste 160",
"city": "Lombard",
"state": "IL",
"country_code": "US",
"postal_code": "60148",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.