Individual provider Active NPI

Christopher Vittore

  • Diagnostic Radiology Physician
  • Rockford, IL
National Provider Identifier
1003873886
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
36093358 Issued in IL
Practice address
5666 E State St
Rockford, IL 61108-2425
Phone
(815) 226-2000
NPI assigned
Apr 27, 2006
Last updated
Jun 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 36093358 IL Primary

Addresses

Primary practice location

5666 E State St
Rockford, IL 61108-2425

Mailing address

2990 N Perryville Rd Unit 4128B
Rockford, IL 61107-6827
Phone (866) 421-8808

Other practice location 1

2990 N Perryville Rd Unit 4128B
Rockford, IL 61107
Phone (866) 421-8808

Other practice location 2

735 N Perryville Rd
Rockford, IL 61107-6236
Phone (815) 398-1300

Other practice location 3

403 E 1st St
Dixon, IL 61021-3116
Phone (815) 285-5531

Other identifiers 1

IdentifierTypeStateIssuer
036093558MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000659 IL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3476502014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Radiology AssocGroup PAC ID 1254330749, 43 clinicians

Practice addresses (Care Compare)

403 E 1St St
Dixon, IL 61021-3116
Phone (815) 288-5531

5666 E State St
St Anthonys
Rockford, IL 61108-2425
Phone (815) 226-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.52 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36093358ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Radiology Assoc Diagnostic Radiology CurrentSince Jul 1, 1999 Accepting new patients

Locations

403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629

2300 N Rockton Ave
Rockford, IL 61103

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

2990 N Perryville Rd
Unit 4128B
Rockford, IL 61107

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

735 N Perryville Rd
Rockford, IL 61107
Phone (815) 226-1172

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1003873886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 N PERRYVILLE RD UNIT 4128B",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076827",
            "telephone_number": "866-421-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5666 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082425",
            "telephone_number": "815-226-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2990 N Perryville Rd Unit 4128B",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "61107",
            "country_code": "US",
            "telephone_number": "866-421-8808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "735 N Perryville Rd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611076236",
            "country_code": "US",
            "telephone_number": "815-398-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Dixon",
            "state": "IL",
            "postal_code": "610213116",
            "country_code": "US",
            "telephone_number": "815-285-5531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITTORE",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "36093358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093558",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.