GAURISH SONI RESIDENT DO
NPI 1689115032
Physical Medicine & Rehabilitation in Oakbrook Terrace, IL

Active since March 18, 2017PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1S450 SUMMIT AVE STE 165, OAKBROOK TERRACE, IL 60181(630) 320-6871(630) 385-0026 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 29, 2021, Jun 18, 2017, Mar 18, 2017 (3 updates tracked since 2017).

About Gaurish Soni Resident Do NPPES

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

GAURISH SONI RESIDENT DO (NPI 1689115032) is an individual physical medicine & rehabilitation provider in Oakbrook Terrace, Illinois, licensed in Illinois (036154976) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and maintains a secondary practice location in Park Ridge.

NPPES Registry Identity

NPI1689115032
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameGAURISH SONICredential: RESIDENT DO
Location Address1S450 SUMMIT AVE STE 165Oakbrook Terrace, IL 60181-3952
Mailing Address1s450 Summit Ave Ste 165Oakbrook Terrace, IL 60181-3952 · (630) 320-6871 · Fax (630) 385-0026
Fax(630) 385-0026
Sole ProprietorNo
Medical School CMSCampbell Univ School Of Osteopathic MedicineGraduated 2017
Enumeration DateMarch 18, 2017
Last NPPES UpdateJune 29, 20213 updates tracked since enumeration
NPPES CertifiedJune 29, 2021
NPI 1689115032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in IL · 036154976
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125071124 (IL)
1S450 SUMMIT AVE STE 165, Oakbrook Terrace, IL 60181

Secondary Practice Location 1

Location 11775 Ballard RdPark Ridge, IL 60068-1005 · Phone (847) 318-9340

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gaurish Soni Resident Do 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 ID648540765
PECOS Enrollment IDI20210713000551
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.

Areas of Expertise CMS Part B claims 11

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
5,247 services819 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,683 services399 patients
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
933 services144 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
904 services711 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
482 services413 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
315 services158 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 8

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers32 claims32 services$50.44 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier17 claims17 services$48.43 avg. paid by Medicare
Manual wheelchair accessory, wheel lock brake extension (handle), each E0961
DME-Wheelchairs · category DD021N
2 suppliers11 claims22 services$17.56 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
2 suppliers11 claims22 services$25.56 avg. paid by Medicare
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware E2611
DME-Wheelchairs · category DD021N
2 suppliers11 claims11 services$139.11 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
2 suppliers22 claims22 services$34.24 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 14

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

Physical Medicine & Rehabilitation
1S450 SUMMIT AVE STE 165
OAKBROOK TERRACE, IL 60181
Physical Medicine & Rehabilitation
1S450 SUMMIT AVE STE 165
OAKBROOK TERRACE, IL 60181
Internal Medicine
1S450 SUMMIT AVE STE 165
OAKBROOK TERRACE, IL 60181
Family Medicine
1S450 SUMMIT AVE STE 165
OAKBROOK TERRACE, IL 60181
Physician Assistant
1S450 SUMMIT AVE STE 165
OAKBROOK TERRACE, IL 60181
Nurse Practitioner
1S450 SUMMIT AVE STE 165
OAKBROOK TERRACE, IL 60181
Social Worker (Clinical)
1S450 SUMMIT AVE STE 165
OAKBROOK TERRACE, IL 60181
Physical Medicine & Rehabilitation
1S450 SUMMIT AVE STE 165
OAKBROOK TERRACE, IL 60181

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 Gaurish Soni's NPI number?

The NPI number for Gaurish Soni is 1689115032. It was assigned to this individual provider in the NPPES registry on March 18, 2017.

Where is Gaurish Soni located?

Gaurish Soni practices at 1s450 Summit Ave Ste 165, Oakbrook Terrace, IL 60181. The listed phone number is (630) 320-6871.

What is Gaurish Soni's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Gaurish Soni enrolled in Medicare?

Yes. Gaurish Soni 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.

What insurance does Gaurish Soni accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Gaurish Soni 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 Gaurish Soni affiliated with any hospitals?

According to CMS data, Gaurish Soni is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Gaurish Soni was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.