DR. LUIS EDWIN GAONA GARZA MD
NPI 1437735107
Family Medicine in Rockford, IL
About Dr. Luis Edwin Gaona Garza Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LUIS EDWIN GAONA GARZA MD (NPI 1437735107) is an individual family medicine provider in Rockford, Illinois, licensed in Illinois (036168560) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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. Luis Edwin Gaona Garza Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Luis Gaona Garza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockford, IL 61102
- Reassigned Medicare billing, Illinois enrollment
- 474 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uw Health
Acute Care Hospitals · Rockford, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Luis Gaona Garza's NPI number?
The NPI number for Luis Gaona Garza is 1437735107. It was assigned to this individual provider in the NPPES registry on March 22, 2021.
Where is Luis Gaona Garza located?
Luis Gaona Garza practices at 815 Marchesano Dr, Rockford, IL 61102. The listed phone number is (779) 696-5950.
What is Luis Gaona Garza's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Luis Gaona Garza enrolled in Medicare?
Yes. Luis Gaona Garza 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 organization bills Medicare for Luis Gaona Garza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Luis Gaona Garza reassigns Medicare benefits to Swedishamerican Hospital (Rockford, IL). The 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 Luis Gaona Garza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Luis Gaona Garza accept?
Health plans from Aspirus Health Plan and Quartz list Luis Gaona Garza 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 Luis Gaona Garza affiliated with any hospitals?
According to CMS data, Luis Gaona Garza is affiliated with Uw Health.
When was this NPI record last updated?
The NPPES record for Luis Gaona Garza was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Luis Edwin Gaona Garza, MD · NPI 1437735107
Family Medicine physician in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since March 22, 2021.
## Identity
- **NPI:** 1437735107 (Entity type: Individual)
- **Enumerated:** March 22, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036168560 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 815 MARCHESANO DR, Rockford, IL 61102-3521
- **Phone:** (779) 696-5950
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Swedishamerican Hospital (NPI 1922570035, Rockford, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1437735107) · Data from the CMS NPPES public registry.