Active NPI
Nephrology Associates of Northern Illinois LTD
- Nephrology Physician
- Rockford, IL
National Provider Identifier
1043418908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD
- Practice address
- 612 Roxbury Rd
Rockford, IL 61107-5089 - Phone
- (815) 227-8300
- Fax
- (815) 227-8301
- NPI assigned
- Jul 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arthur M Morris
- Title
- MD
- Phone
- (708) 386-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | IL | Primary |
Addresses
Primary practice location
612 Roxbury Rd
Rockford, IL 61107-5089
Mailing address
PO Box 94644
Cleveland, OH 44101-4644
Phone (630) 573-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1616108 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Nephrology Physician
- Oak Brook, IL
- NPI 1124069182
O20031208000313
-
- Nephrology Physician
- Oak Brook, IL
- NPI 1134319924
O20031208000313
National Provider Directory
National Provider Directory- Tax ID family
- Nephrology Associates of Northern Illinois
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nephrology Physician
- Crystal Lake, IL
- NPI 1447403852
-
- Nephrology Physician
- Oak Brook, IL
- NPI 1124069182
-
- Nephrology Physician
- Oak Brook, IL
- NPI 1134319924
-
- Nephrology Physician
- Monroe, WI
- NPI 1063605053
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Naperville, IL
- NPI 1760562474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755734400000",
"number": "1043418908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94644",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441014644",
"telephone_number": "630-573-5000",
"fax_number": "630-368-0280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 ROXBURY RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075089",
"telephone_number": "815-227-8300",
"fax_number": "815-227-8301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-03",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "708-386-1000"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1616108",
"state": "IL"
}
],
"endpoints": [],
"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 Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.