Individual provider Active NPI

Robert L Barclay, M.D.

  • Gastroenterology Physician
  • Rockford, IL
National Provider Identifier
1073509337
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
C-205058 Issued in CA
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

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036104379MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260324001996 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 6305821323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Toronto, Faculty of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

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 Hospital, San Luis Obispo, CA, CCN 050506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C-205058CAMDGastroenterology Physician
36104379ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.