Active NPI
Arpana Broor Mathur, MD
- Family Medicine Physician
- Rockford, IL
National Provider Identifier
1023090560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036113594
- Practice address
- 698 Featherstone Rd
Suite 250
Rockford, IL 61107-6303 - Phone
- (815) 399-4404
- Fax
- (815) 484-7091
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036113594 | IL | Primary |
Addresses
Primary practice location
698 Featherstone Rd
Suite 250
Rockford, IL 61107-6303
Mailing address
698 Featherstone Rd
Suite 250
Rockford, IL 61107-6303
Phone (815) 399-4404
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 336074258 | Other | IL | IL STATE CTL SUBS LICENSE |
| 553180 | Other | IL | MEDICARE GROUP PTAN |
| 834370 | Other | IL | MEDICARE GROUP |
| 036113594 | Other | IL | IL STATE LICENSE |
| 036113594 | Medicaid | IL | |
| 0-551-903-8 | Other | IL | ECFMG NUMBER |
Other names 1
- Arpana Broor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1023090560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "698 FEATHERSTONE RD",
"address_2": "SUITE 250",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611076303",
"telephone_number": "815-399-4404",
"fax_number": "815-484-7091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "698 FEATHERSTONE RD",
"address_2": "SUITE 250",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611076303",
"telephone_number": "815-399-4404",
"fax_number": "815-484-7091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHUR",
"first_name": "ARPANA",
"middle_name": "BROOR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036113594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL STATE CTL SUBS LICENSE",
"identifier": "336074258",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "553180",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "834370",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL STATE LICENSE",
"identifier": "036113594",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036113594",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECFMG NUMBER",
"identifier": "0-551-903-8",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ARPANA",
"last_name": "BROOR",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.