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Deactivated NPI 1922114040 Deactivated / Inactive NPI Male Practitioner

Dr. Jason Allan Bergandi , MD

Orthopaedic Surgery • Peru, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jason Bergandi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 22, 2006
NPI Deactivation Date August 23, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Jason Bergandi, MD was a registered Orthopaedic Surgery practicing in Peru, IL. Throughout an active medical career spanning 15 years, Dr. Bergandi provided care at the practice location at 4231 PROGRESS BLVD until profile deactivation on 2021-08-23.

Practice Location & Contact Primary Location

Practice Address

4231 Progress Blvd
4

Peru, IL 613541193

Telephone 8157808627
Fax 8157808630
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Peru, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 27.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Peru, IL (1064 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 36-114114

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Moira Sibbaluca

Physical Therapist

NPI 1184030900
Dennis Nink , PT

Physical Therapist

NPI 1528231933

Physical Therapist

Dr. Rakesh Garg , MD

Psychiatry & Neurology - Neurology

NPI 1962476184

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 23, 2021

Record deactivated on August 23, 2021

NPI Profile Active November 28, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 28, 2011

Registered at 4231 PROGRESS BLVD, 4, PERU, IL 613541193 (Tel: 8157808627)

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Updated Business Mailing Address November 28, 2011

Registered at 4231 PROGRESS BLVD, 4, PERU, IL 613541193 (Tel: 8157808627)

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Provider Name / Credentials Updated November 28, 2011

Recorded as JASON BERGANDI, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2011

Orthopaedic Surgery (License #36-114114 in IL)

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Initial NPI Registration & Enumeration August 22, 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: 1922114040
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2006
Last Update: November 28, 2011
Deactivation Date: August 23, 2021

Mailing Address

4231 Progress Blvd, 4

Peru, IL 613541193

Phone: 8157808627

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.