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DR. RHONDA YVETTE GANS M.D.
NPI 1003830670
Family Medicine in Chicago, IL

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
4829 S COTTAGE GROVE AVE, CHICAGO, IL 60615(312) 646-6620(773) 624-5642 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Apr 23, 2021, Sep 24, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Rhonda Yvette Gans M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RHONDA YVETTE GANS M.D. (NPI 1003830670) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036-085091) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Provident Hospital Of Chicago, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1003830670
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RHONDA YVETTE GANSCredential: M.D.
Location Address4829 S COTTAGE GROVE AVEChicago, IL 60615-1600
Mailing Address440 N Mcclurg Ct Apt 112Chicago, IL 60611-4352
Phone(312) 646-6620
Fax(773) 624-5642
Sole ProprietorYes
Medical School CMSRush Medical College Of Rush UniversityGraduated 1986
Enumeration DateJuly 27, 2006
Last NPPES UpdateMarch 7, 20235 updates tracked since enumeration
NPPES CertifiedApril 23, 2021
✔ NPI 1003830670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-085091
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4829 S COTTAGE GROVE AVE, Chicago, IL 60615
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Secondary Practice Location 1

Location 111000 S Halsted StChicago, IL 60628-3909 · Phone (773) 264-2236

Other Identifiers 2

Medicaid036-085094IL
Other11373711IL · Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rhonda Yvette Gans M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961465794
PECOS Enrollment IDI20041111000648
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Rhonda Gans reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cook County
0.5 mi
General Acute Care Hospital
500 E 51ST ST
Chicago, IL 60615
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1437279676 (312) 572-1202
Smg South State Health Center
1.1 mi
Family Medicine
5050 S STATE ST
Chicago, IL 60609
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Mount Sinai Community Foundation
  • 646 clinicians in this Medicare group
NPI 1366787012 (773) 257-1110
Foundation For Emergency Services
2.4 mi
Emergency Medicine
326 W 64TH ST
Chicago, IL 60621
  • Reassigned Medicare billing, Illinois enrollment
  • 49 clinicians in this Medicare group
NPI 1467468280 (773) 962-3900
New Southtown Medical Group S C
20 mi
Family Medicine
8205 CASS AVE STE 110B
Darien, IL 60561
  • Reassigned Medicare billing, Illinois enrollment
  • 19 clinicians in this Medicare group
NPI 1134508997 (773) 840-4747

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
174 services94 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Provident Hospital Of Chicago

Acute Care Hospitals · Chicago, IL
OwnershipGovernment - Local
CMS Certification Number140300
Location500 E 51st StChicago, IL 60615 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$2.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$63.30 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$184.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEAR NORTH HEALTH SERVICE CORPORATION
Clinic/Center (Federally Qualified Health Center (FQHC))
4829 S COTTAGE GROVE AVE
CHICAGO, IL 60615
Cook County (773) 548-1170
DR. IRMA L JORDAN DNP, FNP/PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4829 S COTTAGE GROVE AVE
CHICAGO, IL 60615
Cook County (773) 548-1170
MRS. KELLY SAUER FNP-BC
Nurse Practitioner (Family)
4829 S COTTAGE GROVE AVE
CHICAGO, IL 60615
Cook County (312) 337-1073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rhonda Gans's NPI number?

The NPI number for Rhonda Gans is 1003830670. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Rhonda Gans located?

Rhonda Gans practices at 4829 S Cottage Grove Ave, Chicago, IL 60615. The listed phone number is (312) 646-6620.

What is Rhonda Gans's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rhonda Gans enrolled in Medicare?

Yes. Rhonda Gans is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Rhonda Gans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rhonda Gans reassigns Medicare benefits to 4 organizations: Cook County (Chicago, IL), Smg South State Health Center (Chicago, IL), Foundation For Emergency Services (Chicago, IL) and New Southtown Medical Group S C (Darien, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rhonda Gans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rhonda Gans accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rhonda Gans as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rhonda Gans affiliated with any hospitals?

According to CMS data, Rhonda Gans is affiliated with Provident Hospital Of Chicago.

When was this NPI record last updated?

The NPPES record for Rhonda Gans was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.