Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255449484 Individual Practitioner Male Practitioner

Dr. Ramayya U Gowda , MD

Surgery • Canton, IL

Professional Overview & Biography Verified Profile Summary

Dr. Ramayya Gowda, MD is a registered healthcare professional specializing in Surgery in Canton, IL. Practice services are available at 180 SOUTH MAIN STREET under active NPI credentials.

Frequently performed procedures and clinical services include removal of tissue from wound, 20.0 sq cm or less, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

180 South Main Street

Canton, IL 615202608

Telephone 3096470201
Fax 3096496880
Associated Practice Facility / Clinic
🏢 Graham Services Corporation Facility NPI 1942315197

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Canton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Canton, IL (1624 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less
50 17 $124.22 $24.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
23 23 $306.81 $115.73

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036-053154

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License IL 036053154

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036053154 (IL)
Commercial Insurance / Payer ID Rr Medicare Pin
770002357 (IL)
Commercial Insurance / Payer ID Bcbs
02922981 (IL)
Commercial Insurance / Payer ID Health Link
136064 (IL)
Commercial Insurance / Payer ID Health Alliance
014148 (IL)
Commercial Insurance / Payer ID Osf Healthplans
053154 (IL)
Commercial Insurance / Payer ID Umwa
0062839 (IL)
Commercial Insurance / Payer ID Black Lung
200397 (IL)
Commercial Insurance / Payer ID Rr Medicare Group#
CG5172 (IL)
Commercial Insurance / Payer ID Npi Clinic Number
1942315197 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. A Savegnago , MD

Family Medicine

NPI 1003924085

Doctor of Medicine (M.D.)

Dr. John Mccarthy , MD

Internal Medicine

NPI 1033327069

Doctor of Medicine (M.D.)

Dara Wagner , APN-C

Nurse Practitioner - Family

NPI 1063046464

APNC

Tracy Iversen , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063261345

Psychiatric-Mental Health Nurse Practitioner

Jessica Bugos , APRN

Nurse Practitioner

NPI 1063976058

Advanced Practice Registered Nurse

Stephen Westhafer

Nurse Practitioner - Family

NPI 1093550436

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2016

Registered at 180 SOUTH MAIN STREET, CANTON, IL 615202608 (Tel: 3096470201)

📍
Updated Business Mailing Address April 15, 2016

Registered at 180 SOUTH MAIN STREET, CANTON, IL 615202608 (Tel: 3096470201)

👤
Provider Name / Credentials Updated April 15, 2016

Recorded as RAMAYYA GOWDA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2016

Surgery (License #036-053154 in IL)

🟢
Initial NPI Registration & Enumeration August 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255449484
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2006
Last Update: April 15, 2016
Sole Proprietor: No

Mailing Address

180 South Main Street

Canton, IL 615202608

Phone: 3096470201

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.