Active NPI
Robert L Barclay, M.D.
- Gastroenterology Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- C-205058
- Practice address
- 401 Roxbury Rd
Rockford, IL 61107-5075 - Phone
- (815) 397-7340
- Fax
- (815) 484-7864
- NPI assigned
- Sep 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 36104379 | IL | |
| Gastroenterology Physician | 207RG0100X | C-205058 | CA | Primary |
Addresses
Primary practice location
401 Roxbury Rd
Rockford, IL 61107-5075
Mailing address
401 Roxbury Rd
Rockford, IL 61107-5075
Phone (815) 397-7340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036104379 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20260324001996 | CA | Practitioner - Gastroenterology | 6305821323 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Toronto, Faculty of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1064 Murray Ave
San Luis Obispo, CA 93405-1806
Phone (805) 542-9678
1154 E Grand Ave
Arroyo Grande, CA 93420-2583
Phone (805) 395-3277
35 Casa St
Suite 130
San Luis Obispo, CA 93405-1887
Phone (805) 541-1422
959 Las Tablas Rd
Suite B3
Templeton, CA 93465-9703
Phone (805) 395-3277
Hospital & facility affiliations
- Adventist Health Sierra Vista
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-205058 | CA | MD | Gastroenterology Physician |
| 36104379 | IL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Gastroenterology Associates, LTD. | Gastroenterology | Current | Accepting new patients |
| Rockford Gastroenterology Associates, LTD. | Current | Accepting new patients |
Locations
401 Roxbury Rd
Rockford, IL 61107
Phone (815) 397-7340
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 and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Rockford, IL
- NPI 1871536763
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1073509337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 ROXBURY RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075075",
"telephone_number": "815-397-7340",
"fax_number": "815-397-2156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 ROXBURY RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075075",
"telephone_number": "815-397-7340",
"fax_number": "815-484-7864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARCLAY",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "36104379",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "C-205058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036104379",
"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 Oct 30, 2025; 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.