GUSTAVO A ESPINOSA (MD) – Diagnostic Radiology Physician, NPI 1114904620

GUSTAVO A ESPINOSA (MD) is a healthcare provider. based in Rockford, Illinois. specializing in Diagnostic Radiology Physician. They hold the professional credentials MD. The NPI Number for GUSTAVO A ESPINOSA (MD) is 1114904620

Main info

Male
58 Years Of Experience
Accepts Medicare Assignment
Name
GUSTAVO A ESPINOSA (MD)
NPI
1114904620
Phone
(815) 397-5554
Address
3849 N PERRYVILLE ROAD
Enumeration Date
27 December 2005
Last Update Date
18 March 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043995550
Graduation Year
1968 (58 years ago)
PAC ID
8426139825
Group Practice PAC ID
8820077878
Professional Enrollment ID
I20170824001729
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for GUSTAVO A ESPINOSA (MD)

  • North Perryville Road, Rockford, Winnebago County, Illinois, 6114, United States

    ROCKFORD, IL 61114

    Phone: (815) 397-5554

    Fax: (866) 914-7594

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820077878View full group profile
NameSpecialtyState
Diagnostic RadiologyGA
Interventional RadiologyFL
Diagnostic Radiology, Interventional RadiologyOH
Diagnostic RadiologyFL
Diagnostic RadiologyWI
-FL
Neurology, Nuclear Medicine, Diagnostic RadiologyFL
Diagnostic RadiologyKY
-FL
Diagnostic RadiologyTN

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Frequently asked questions

How is GUSTAVO A ESPINOSA (MD) identified in CMS data?
CMS-hosted NPPES data lists GUSTAVO A ESPINOSA (MD) with NPI 1114904620.
Does CMS list GUSTAVO A ESPINOSA (MD) as active?
Yes — GUSTAVO A ESPINOSA (MD) is active in the NPI listing used on this page.
What healthcare role does GUSTAVO A ESPINOSA (MD) hold?
Scheduling teams often label GUSTAVO A ESPINOSA (MD) under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does GUSTAVO A ESPINOSA (MD) list a practice location?
Patients near Rockford, Illinois may find GUSTAVO A ESPINOSA (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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