Active NPI
Roger A Schroeder, MD
- Obstetrics Physician
- Jerseyville, IL
National Provider Identifier
1063496750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- Practice address
- 400 Maple Summit Rd
Jerseyville, IL 62052-2028 - Phone
- (618) 498-3612
- NPI assigned
- Dec 6, 2005
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | IL | Primary |
Addresses
Primary practice location
400 Maple Summit Rd
Jerseyville, IL 62052-2028
Mailing address
PO Box 426
Jerseyville, IL 62052-0426
Phone (618) 498-3612
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036065715 | IL | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roger a. Schroeder MD SC | Past | Accepting new patients | |
| Jersey Community Hospital District | Past | Accepting new patients | |
| Jersey Community Hospital | Past | Accepting new patients |
Organizations & group practices 3
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.
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-
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- NPI 1659750818
-
dba JCH Medical Group
- Family Medicine Physician
- Jerseyville, IL
- NPI 1134163827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063496750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 426",
"city": "JERSEYVILLE",
"state": "IL",
"postal_code": "620520426",
"telephone_number": "618-498-3612",
"fax_number": "618-498-8496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MAPLE SUMMIT RD",
"city": "JERSEYVILLE",
"state": "IL",
"postal_code": "620522028",
"telephone_number": "618-498-3612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "ROGER",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jerseyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.