Active NPI
Charles Sweeney, MD
- Nephrology Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 036072316
- Practice address
- 612 Roxbury Rd
Rockford, IL 61107-5089 - Phone
- (815) 227-8300
- Fax
- (815) 227-8301
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 036072316 | IL | Primary |
Addresses
Primary practice location
612 Roxbury Rd
Rockford, IL 61107-5089
Mailing address
612 Roxbury Rd
Rockford, IL 61107-5089
Phone (815) 227-8300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1616108 | Other | IL | BCBS |
| 036072316 | Medicaid | IL | |
| P00605022 | Other | IL | RAILROAD MEDICARE |
| 31763600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1969 W Hart Rd
Beloit, WI 53511-2230
Phone (815) 227-8300
612 Roxbury Rd
Rockford, IL 61107-5089
Phone (815) 227-8300
Hospital & facility affiliations
- DaVita Dixon Kidney Center
- DaVita Churchview Dialysis
- Dialyze Direct Il - Glen Ellyn
- DaVita Roxbury Dialysis Center
- DaVita Edgewater Dialysis
- Saint Anthony Medical Center
- CGH Medical Center
- Osf Saint Katharine Medical Center
- Javon Bea Hospital
- Uw Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.99 of 100
- Quality
- 83.04
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rna of Rockford, PLLC | Nephrology | Current | Accepting new patients |
| Nephrology Associates of Northern Indiana, Inc | Nephrology | Past | Accepting new patients |
Locations
215 E 1st St
Ste 153
Dixon, IL 61021
Phone (815) 285-5484
900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181
612 Roxbury Rd
Rockford, IL 61107
Phone (815) 227-8300
5970 Churchview Dr
Rockford, IL 61107
Phone (815) 971-8990
2600 Locust St
Ste D
Sterling, IL 61081
Phone (815) 626-3173
2200 Gateway Dr
Sycamore, IL 60178
Phone (815) 758-0205
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
Interoperability endpoints
- charles.sweeney.1@19234.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- csweeney21361@cghmc.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nephrology Physician
- Fort Wayne, IN
- NPI 1578505814
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Glen Ellyn, IL
- NPI 1265903876
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Dixon, IL
- NPI 1396706750
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockford, IL
- NPI 1285694729
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockfrd, IL
- NPI 1154997591
Dialysis facility
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
-
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1790739977
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303430400000",
"number": "1063414944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": {
"last_name": "SWEENEY",
"first_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2011-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "036072316",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1616108",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036072316",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00605022",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31763600",
"state": "WI"
}
],
"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 Apr 22, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.