Active NPI
Errol Christopher Baptist, M.D.
- Pediatric Adolescent Medicine Physician
- Rockford, IL
National Provider Identifier
1043233471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 036-055599
- Practice address
- 461 N Mulford Rd
Suite # 4
Rockford, IL 61107-5190 - Phone
- (779) 696-5570
- NPI assigned
- Jul 26, 2006
- Last updated
- Apr 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 036-055599 | IL | Primary |
Addresses
Primary practice location
461 N Mulford Rd
Suite # 4
Rockford, IL 61107-5190
Mailing address
PO Box 78866
Milwaukee, WI 53278-8866
Phone (779) 696-7150
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebaptist718396@direct.uwhealth.org |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131223000855 | IL | Order and Referring Only - Pediatric Medicine | 3274760178 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- ebaptist718396@direct.uwhealth.org
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.
-
- Pediatric Adolescent Medicine Physician
- Rockford, IL
- NPI 1891969796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1043233471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78866",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532788866",
"telephone_number": "779-696-7150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 N MULFORD RD",
"address_2": "SUITE # 4",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075190",
"telephone_number": "779-696-5570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAPTIST",
"first_name": "ERROL",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "IL",
"license": "036-055599",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ebaptist718396@direct.uwhealth.org",
"affiliation": "N",
"address_1": "461 N Mulford Rd",
"address_2": "Suite # 4",
"city": "Rockford",
"state": "IL",
"country_code": "US",
"postal_code": "611075190",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.