Roger Barrett Collins, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Practice address

105 N Greenleaf St
Gurnee, IL 60031-3326

Phone

(847) 623-3090

Fax

(847) 623-9620

NPI assigned

Oct 31, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rcollins204500@direct.thedacare.org

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.

• Thedacare, Incorporated

  • Family Medicine Physician
  • New London, WI
  • NPI 1376656959
  Medicare reassignment NPD
• Womens Healthcare of Dothan PC

  • Specialist
  • Dothan, AL
  • NPI 1518912351
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1073504973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N GREENLEAF ST",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313326",
            "telephone_number": "847-623-3090",
            "fax_number": "847-623-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N GREENLEAF ST",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313326",
            "telephone_number": "847-623-3090",
            "fax_number": "847-623-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ROGER",
        "middle_name": "BARRETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "04915144",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clinicians Surgery Care Center. LLC.
• Clinicians Surgical Care of America LLC
• Co-Operative Partners in Therapy
• Johan Collado
• Olivia Collins
• Comfort Care Dentistry PLLC
• Comprehensive Cardiovascular Care, LLC
• Mercedes Compton, LPC
• Condell Medical Center
• Gregory M. Condon, PT

• Orthopaedic Surgery Physician in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.

Verify at the official NPI Registry.