Active NPI
Rene Sherwin Parungao, MD
- Surgery Physician
- McHenry, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036115790
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036115790 | Other | IL | STATE LICENSE |
| 1942231667 | Medicaid | MO | |
| K29524 | Other | IL | MEDICARE ID# |
| 718000036 | Other | MO | MEDICARE MO |
Other names 1
- R Sherwin Parungao
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, UT, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Vitalcaring Group
- Bellcoa Home Health Service Inc
- St David's South Austin Medical Center
- Mercy Hospital Fort Smith
- Round Rock Medical Center
- St David's Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1279 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Integrity Kansas PA | Current | Accepting new patients | |
| Premier Provider Health PA | Current | Accepting new patients | |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| Premier Provider Health Utah PLLC | Current | Accepting new patients | |
| Wound Integrity Arkansas PA | Current | 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.
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1831709997
-
- Infectious Disease Physician
- Austin, TX
- NPI 1013397066
-
dba Wound Integrity Utah
- Internal Medicine Physician
- Ogden, UT
- NPI 1699311209
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
dba Han Pham Hulen, MD PA
- Internal Medicine Physician
- Dallas, TX
- NPI 1700032745
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1356974679
-
dba Cottage Orthopedics and Podiatry
- Durable Medical Equipment & Medical Supplies
- Galesburg, IL
- NPI 1669947503
-
- Surgery Physician
- Galesburg, IL
- NPI 1265450134
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Austin, TX
- NPI 1669485561
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
-
dba VitalCaring Group
- Home Health Agency
- Temple, TX
- NPI 1538458633
-
dba Round Rock Medical Center
- General Acute Care Hospital
- Round Rock, TX
- NPI 1649223645
-
dba St. David's South Austin Medical Center
- General Acute Care Hospital
- Austin, TX
- NPI 1679528889
-
dba Heart Hospital of Austin
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.