Individual provider Active NPI

Alix Vincent, MD

  • Neuroradiology Physician
  • Rockford, IL
National Provider Identifier
1003802265
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
225547 Issued in MA
Practice address
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone
(815) 971-7000
NPI assigned
Sep 23, 2005
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X W0351 TX
Neuroradiology Physician 2085N0700X 225547 MA Primary
Neuroradiology Physician 2085N0700X 0101238596 VA
Neuroradiology Physician 2085N0700X 036.122520 IL
Diagnostic Radiology Physician 2085R0202X C1-0025029 DE
Diagnostic Radiology Physician 2085R0202X ME97645 FL

Addresses

Primary practice location

8201 E Riverside Blvd
Rockford, IL 61114-2300

Mailing address

3 Sea Cove LN
Newport Beach, CA 92660-6221
Phone (909) 838-7864

Other practice location 1

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

Other practice location 2

4755 Ogletown Stanton Road
Newark, DE 19718-2200
Phone (302) 733-1840

Other practice location 3

901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431

Other practice location 4

3 Sea Cove Ln
Newport Beach, CA 92660-6221
Phone (909) 838-7864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM, TX, IL, WA, FL, AZ, NY, MI, DE10 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
I20051103001133 CA Practitioner - Diagnostic Radiology 4789602194 Reassigns benefits to 24 organizations
I20110816000283 NM Practitioner - Diagnostic Radiology 4789602194 Reassigns benefits to 2 organizations
I20140227000925 TX Practitioner - Diagnostic Radiology 4789602194 Reassigns benefits to 14 organizations
I20150601000871 IL Practitioner - Diagnostic Radiology 4789602194 Reassigns benefits to 8 organizations
I20170811002968 WA Practitioner - Diagnostic Radiology 4789602194 Reassigns benefits to 1 organization
I20190319000285 FL Practitioner - Diagnostic Radiology 4789602194 Reassigns benefits to 27 organizations
I20190321001207 AZ Practitioner - Diagnostic Radiology 4789602194 Reassigns benefits to 2 organizations
I20200305002231 NY Practitioner - Diagnostic Radiology 4789602194 Reassigns benefits to 2 organizations
I20240821001103 MI Practitioner - Diagnostic Radiology 4789602194 Reassigns benefits to 1 organization
I20240828005166 DE Practitioner - Diagnostic Radiology 4789602194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loma Linda University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Radiological Associates PAGroup PAC ID 4385740141, 61 clinicians
Humboldt Park HealthGroup PAC ID 8921907072, 106 clinicians
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
La Paz Regional Hospital IncGroup PAC ID 1557273356, 50 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians
Faculty Physicians and Surgeons of LlusmGroup PAC ID 1153227814, shared by 6 NPIs, 1,313 clinicians
Bayhealth Radiologists LLCGroup PAC ID 0446601876, 91 clinicians
Pco PCGroup PAC ID 5395179329, 82 clinicians
Central Valley Community Medical ImagingGroup PAC ID 5799679874, 97 clinicians
Lubbock County Hospital DistrictGroup PAC ID 4385538941, 97 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians
Thorek Radiology Group NFPGroup PAC ID 1658786421, 41 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians
Grays Harbor Community HospitalGroup PAC ID 3577462365, 91 clinicians

Practice addresses (Care Compare)

Fort Lauderdale, FL 33301
Phone (903) 663-4800

Chino Hills, CA 91709
Phone (773) 292-8200

Corona del Mar, CA 92625
Phone (800) 841-4236

1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8227

120 E Beauregard Ave
San Angelo, TX 76903-5919
Phone (325) 747-1511

1200 W Mohave Rd
Parker, AZ 85344-6349
Phone (928) 669-7382

1215 E Michigan Ave
Unitversity of Michigan Health Spar
Lansing, MI 48912-1811
Phone (517) 364-5650

125 Newman St
Fairfield, TX 75840-1419
Phone (903) 389-2121

1401 Foulk Rd
Wilmington, DE 19803-2764

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000

28 S Gordon Rd
Fort Lauderdale, FL 33301-3738
Phone (610) 892-8889

315 Goldenrod Ave
Corona del Mar, CA 92625-2905
Phone (949) 480-9698

3762 Tibbetts St
Riverside, CA 92506-2605
Phone (951) 686-2224

4 W Las Olas Blvd
Apt 1508
Fort Lauderdale, FL 33301-3093
Phone (949) 480-9698

4 W Las Olas Blvd Apt
1508 Telerad Alix Vincent
Fort Lauderdale, FL 33301-3093
Phone (949) 480-9698

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8400

702 S Bella Vista St
Tampa, FL 33609-4305
Phone (559) 256-1975

733 Cedar St
Garberville, CA 95542-3201
Phone 70792339211276

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

850 W Irving Park Rd
Chicago, IL 60613-3077
Phone (773) 975-6722

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.122520ILMDNeuroradiology Physician
225547MAMDNeuroradiology Physician
W0351TXMDNeuroradiology Physician
A31265CAMDDiagnostic Radiology Physician
C1-0025029DEMDDiagnostic Radiology Physician
ME97645FLMDDiagnostic Radiology Physician

Practice roles (60 of 102)

OrganizationSpecialtyStatusNew patients
Southern Humboldt Community Healthcare District CurrentSince Sep 24, 2009 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Riverside Radiology Medical Group, Inc. Diagnostic Radiology Current Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Rockford Health Physicians CurrentSince Aug 1, 2025 Accepting new patients
Ochiltree Hospital District Current Accepting new patients
Seven Star Hospital Associates Inc. Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
La Paz Regional Hospital Inc CurrentSince Jan 1, 2026 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince Feb 15, 2015 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Nov 27, 2023 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jun 1, 2015 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
First Medical Center Inc CurrentSince Nov 18, 2016 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jul 1, 2024 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Jul 1, 2021 Accepting new patients
Christiana Care Health Services, Inc CurrentSince Aug 14, 2024 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince Oct 17, 2018 Accepting new patients
DHHS IHS Phoenix CurrentSince Mar 28, 2024 Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Apr 14, 2014 Accepting new patients
La Paz Regional Hospital, Inc. CurrentSince Jun 29, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Jul 12, 2023 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Jul 8, 2023 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jul 1, 2024 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
El Paso County Hospital District CurrentSince Nov 17, 2023 Accepting new patients
Bayhealth Radiologists LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Los Angeles Radiology Medical Associates, Inc. Diagnostic Radiology CurrentSince Nov 29, 2010 Accepting new patients
Central Valley Community Medical Imaging Diagnostic Radiology CurrentSince May 1, 2020 Accepting new patients
Laguna Healthcare Corporation CurrentSince Feb 22, 2021 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 28, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology Current Accepting new patients
Freeport Memorial Hospital CurrentSince May 1, 2022 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Jul 12, 2023 Accepting new patients
Interfaith Professional Physician Services, P.C. Diagnostic Radiology CurrentSince Dec 20, 2023 Accepting new patients
Sol Radiology, Inc. Diagnostic Radiology CurrentSince Mar 14, 2022 Accepting new patients
Carle West Physician Group Inc CurrentSince May 7, 2023 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Oct 1, 2013 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Grays Harbor Community Hospital CurrentSince Jun 24, 2017 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jun 1, 2015 Accepting new patients
Faculty Physicians and Surgeons of Llusm Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Thorek Radiology Group NFP Diagnostic Radiology CurrentSince Oct 30, 2020 Accepting new patients
La Paz Regional Hospital Inc CurrentSince Jun 29, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Aug 1, 2025 Accepting new patients
Oak Brook X-Ray and Imaging, Inc. Diagnostic Radiology CurrentSince Sep 1, 2013 Accepting new patients
Grays Harbor Community Hospital CurrentSince Jun 24, 2017 Accepting new patients
El Paso County Hospital District CurrentSince Nov 17, 2023 Accepting new patients

Locations (25 of 71)

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

1713 S Kofa Ave
Ste A
Parker, AZ 85344
Phone (928) 669-7380

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

11841 South St
Cerritos, CA 90703
Phone (562) 809-8082

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

1827 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 297-9002

733 Cedar St
Garberville, CA 95542
Phone (707) 923-3921

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

890 W Stetson Ave
Ste B
Hemet, CA 92543
Phone (951) 652-2811

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

2224 Medical Center Dr
Perris, CA 92571
Phone (951) 436-3460

1770 Iowa Ave
Riverside, CA 92507
Phone (951) 801-6348

1770 Iowa Ave
Ste 280
Riverside, CA 92507
Phone (661) 948-4781

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

640 S State St
Dover, DE 19901
Phone (302) 744-4700

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • BSC 65 PLUS INDIVIDUAL MAPD
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: avincent101088@direct.llu.edu
  • Direct secure messaging: avincent274350@mhsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/8699/brand/1/csg/1/fhir/r4

Organizations & group practices 119

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 119

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1003802265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SEA COVE LN",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606221",
            "telephone_number": "909-838-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 E RIVERSIDE BLVD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611142300",
            "telephone_number": "815-971-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 S Route 31",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600148190",
            "country_code": "US",
            "telephone_number": "779-220-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "address_purpose": "LOCATION",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-733-1840",
            "fax_number": "302-733-1633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Grant St",
            "address_purpose": "LOCATION",
            "city": "Harvard",
            "state": "IL",
            "postal_code": "600331821",
            "country_code": "US",
            "telephone_number": "815-943-5431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Sea Cove Ln",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926606221",
            "country_code": "US",
            "telephone_number": "909-838-7864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "ALIX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "W0351",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MA",
            "license": "225547",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VA",
            "license": "0101238596",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IL",
            "license": "036.122520",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0025029",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME97645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.