Individual provider Active NPI

Rene Sherwin Parungao, MD

  • Surgery Physician
  • McHenry, IL
National Provider Identifier
1942231667
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036115790 Issued in IL
Practice address
4309 W Medical Center Dr Ste B202
McHenry, IL 60050
Phone
(815) 455-2752
Fax
(815) 455-2789
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2013030325 MO
Surgery Physician 208600000X 036115790 IL Primary

Addresses

Primary practice location

4309 W Medical Center Dr Ste B202
McHenry, IL 60050

Mailing address

4309 W Medical Center Dr Ste B202
McHenry, IL 60050-8417
Phone (815) 455-2752

Other practice location 1

2507 N Richmond Rd
McHenry, IL 60051-5407
Phone (847) 802-7300

Other practice location 2

3707 Doty Rd Ste E
Woodstock, IL 60098-7530
Phone (815) 455-2752

Other practice location 3

11650 S Il Route 47
Huntley, IL 60142-9613
Phone (847) 802-7300

Other practice location 4

360 N Terra Cotta Rd Ste C
Crystal Lake, IL 60012-3749
Phone (815) 338-6600

Other identifiers 4

IdentifierTypeStateIssuer
036115790OtherILSTATE LICENSE
1942231667MedicaidMO
K29524OtherILMEDICARE ID#
718000036OtherMOMEDICARE MO

Other names 1

  • R Sherwin Parungao Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT, AR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20211129002615 TX Practitioner - General SurgeryPractitioner - Undersea and Hyperbaric Medicine 1557364833 Reassigns benefits to 1 organization
I20260316003684 UT Practitioner - Internal Medicine 1557364833 Reassigns benefits to 1 organization
I20260430000018 AR Practitioner - General Surgery 1557364833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Integrity Arkansas, PAGroup PAC ID 5496161945, 9 clinicians
Premier Provider Health PAGroup PAC ID 2264531276, 30 clinicians

Practice addresses (Care Compare)

7306 Rogers Ave
Fort Smith, AR 72903-4164
Phone (479) 314-2804

9301 N Central Expy
Suite 340
Dallas, TX 75231-0804
Phone (214) 466-2828

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1279

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Integrity Kansas PA CurrentSince Aug 6, 2026 Accepting new patients
Premier Provider Health PA CurrentSince Jul 1, 2024 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Jul 1, 2013 Accepting new patients
Premier Provider Health Utah PLLC CurrentSince Jan 27, 2026 Accepting new patients
Wound Integrity Arkansas PA CurrentSince Apr 1, 2026 Accepting new patients
Knox Clinic Corp Past Accepting new patients
Surgical Clinics LTD Surgery Past Accepting new patients

Locations

7306 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-2804

13501 Chenal Pkwy
Ste 101
Little Rock, AR 72211
Phone (501) 239-9146

203 Bailey Ln
Ste 1
Benton, IL 62812
Phone (618) 438-5670

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

8500 College Blvd
Overland Park, KS 66210
Phone (913) 303-7646

4316 James Casey St
Ste B-100
Austin, TX 78745
Phone (512) 444-4325

9301 N Central Expy
Ste 340
Dallas, TX 75231
Phone (214) 466-2828

251 Westpark Way
Ste 300
Euless, TX 76040
Phone (817) 848-5880

1300 W Rosedale St
Ste A
Fort Worth, TX 76104
Phone (817) 377-4011

8648 Medical City Way
Fort Worth, TX 76177
Phone (817) 984-7536

5575 Warren Pkwy
Ste 206
Frisco, TX 75034
Phone (469) 287-7089

1325 Pennsylvania Ave
Ste 750
Ft Worth, TX 76104
Phone (817) 250-1970

5220 W University Dr
Ste 290
McKinney, TX 75071
Phone (469) 678-8322

200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326

2410 Round Rock Ave
Ste 111
Round Rock, TX 78681

9150 Huebner Rd
Ste 120
San Antonio, TX 78240
Phone (210) 334-0012

17450 St Lukes Way
Ste 360
The Woodlands, TX 77384
Phone (281) 872-6306

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

5230 Old Jacksonville Hwy
Ste 105
Tyler, TX 75703
Phone (430) 201-4216

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1942231667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR STE B202",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508417",
            "telephone_number": "815-455-2752",
            "fax_number": "815-455-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR STE B202",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "60050",
            "telephone_number": "815-455-2752",
            "fax_number": "815-455-2789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2507 N Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600515407",
            "country_code": "US",
            "telephone_number": "847-802-7300",
            "fax_number": "847-668-2647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3707 Doty Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "IL",
            "postal_code": "600987530",
            "country_code": "US",
            "telephone_number": "815-455-2752",
            "fax_number": "815-455-2789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11650 S Il Route 47",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601429613",
            "country_code": "US",
            "telephone_number": "847-802-7300",
            "fax_number": "847-668-2647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 N Terra Cotta Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600123749",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARUNGAO",
        "first_name": "RENE",
        "middle_name": "SHERWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2013030325",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036115790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036115790",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942231667",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID#",
            "identifier": "K29524",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MO",
            "identifier": "718000036",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R",
            "last_name": "PARUNGAO",
            "middle_name": "SHERWIN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.