Individual provider Active NPI

Sidney P Rohrscheib, M.D.

  • Surgery Physician
  • Clinton, IL
National Provider Identifier
1073580122
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036090160 Issued in IL
Practice address
803 Illini Dr
Clinton, IL 61727-9444
Phone
(217) 935-7037
Fax
(217) 935-7047
NPI assigned
Mar 7, 2006
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.064607 OH
Surgery Physician 208600000X 036090160 IL Primary

Addresses

Primary practice location

803 Illini Dr
Clinton, IL 61727-9444

Mailing address

803 Illini Dr
Clinton, IL 61727-9444
Phone (217) 935-7037

Other practice location 1

1730 E Lake Shore Dr
Decatur, IL 62521-3809
Phone (217) 329-1000

Other identifiers 1

IdentifierTypeStateIssuer
036090160MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20041216000657 IL Practitioner - General Surgery 7810954245 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians
City of ClintonGroup PAC ID 0042203127, 19 clinicians

Practice addresses (Care Compare)

1730 E Lake Shore Dr
Decatur, IL 62521-3809
Phone (217) 329-1000

422 W White St
Clinton, IL 61727-2272
Phone (217) 935-9571

803 Illini Dr
Clinton, IL 61727-9444
Phone (217) 935-7037

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy14
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux39
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.064607OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olympian Surgical Suites LLC Current Accepting new patients
City of Clinton Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Apr 1, 2018 Accepting new patients
City of Clinton CurrentSince Oct 7, 2011 Accepting new patients
HSHS Medical Group Inc CurrentSince Jul 24, 2023 Accepting new patients
Sidney P. Rohrscheib, M.D., PC Surgery CurrentSince May 1, 2006 Accepting new patients
City of Clinton CurrentSince Oct 7, 2011 Accepting new patients
HSHS Medical Group Inc CurrentSince Jul 24, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
HSHS Medical Group Inc Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

422 W White St
Clinton, IL 61727
Phone (217) 935-9570

803 Illini Dr
Clinton, IL 61727
Phone (217) 519-3184

1730 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 329-1000

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1405 W Park St
Ste 302
Urbana, IL 61801
Phone (217) 337-2010

Interoperability endpoints

  • Direct secure messaging: sidney.rohrscheib@direct.warnerhospital.org

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1073580122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 ILLINI DR",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617279444",
            "telephone_number": "217-935-7037",
            "fax_number": "217-935-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 ILLINI DR",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617279444",
            "telephone_number": "217-935-7037",
            "fax_number": "217-935-7047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 E Lake Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625213809",
            "country_code": "US",
            "telephone_number": "217-329-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHRSCHEIB",
        "first_name": "SIDNEY",
        "middle_name": "P",
        "name_prefix": "Prof.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.064607",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036090160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090160",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IL

Sources for this page

Verify at the official NPI Registry.