Michael Robertson, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036108880 Issued in IL

Practice address

612 Roxbury Rd
Rockford, IL 61107-5089

Phone

(815) 227-8300

Fax

(815) 227-8301

NPI assigned

Aug 10, 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 2

Medicare fee-for-service enrollment

Enrolled in IL, WI2 enrollments

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 2

Specialty

NephrologyAlso: Internal Medicine

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rna of Rockford, PLLCGroup PAC ID 3870662398, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Machesney Park Dialysis Dialysis facility, Machesney Park, IL, CCN 142806
• Renviva, LLC Dialysis facility, Rockford, IL, CCN 142803
• DaVita Belvidere Dialysis Dialysis facility, Belvidere, IL, CCN 142795
• DaVita Roxbury Dialysis Center Dialysis facility, Rockford, IL, CCN 142665
• DaVita Churchview Dialysis Dialysis facility, Rockford, IL, CCN 142640
• Saint Anthony Medical Center Hospital, Rockford, IL, CCN 140233
• Beloit Health System Hospital, Beloit, WI, CCN 520100
• Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286
• Uw Health Hospital, Rockford, IL, CCN 140228
• Rochelle Community Hospital Hospital, Rochelle, IL, CCN 141312

Merit-based Incentive Payment System (MIPS)

Final score

94.99 of 100Reported as group

Quality

83.04

Promoting interoperability

100

Improvement activities

40

Cost

77.67

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: mrobertson21367@cghmc.direct-ci.com
• Direct secure messaging: michael.robertson.1@19234.direct.athenahealth.com

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.

• Rna of Rockford, PLLC

  • Nephrology Physician
  • Rockford, IL
  • NPI 1336326388

  WI

  Medicare reassignment Care Compare group NPD Authorized official
• Nephrology Associates of Northern Indiana, Inc

  • Nephrology Physician
  • Fort Wayne, IN
  • NPI 1578505814
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dialysis of Northern Illinois LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Belvidere, IL
  • NPI 1518365428

  Dialysis facility

  Care Compare affiliation Name & address match
• Machesney Bay Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Machesney Park, IL
  • NPI 1770957599

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Treatment Centers-Illinois Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockford, IL
  • NPI 1285694729

  Dialysis facility

  Care Compare affiliation Name & address match
• Renviva LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockford, IL
  • NPI 1962873919

  Dialysis facility

  Care Compare affiliation Name & address match
• Kishwaukee Community Hospital

  • General Acute Care Hospital
  • Dekalb, IL
  • NPI 1669534517
  Care Compare affiliation
• Rochelle Community Hospital Association

  • Critical Access Hospital
  • Rochelle, IL
  • NPI 1821053216
  Care Compare affiliation
• Saint Anthony Medical Center

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1790739977
  Care Compare affiliation
• Swedishamerican Hospital

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1760542732
  Care Compare affiliation
• Beloit Health System Inc

  • General Acute Care Hospital
  • Beloit, WI
  • NPI 1982780094
  Care Compare affiliation

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1093717027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 ROXBURY RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075089",
            "telephone_number": "815-227-8300",
            "fax_number": "815-227-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 ROXBURY RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075089",
            "telephone_number": "815-227-8300",
            "fax_number": "815-227-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036108880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35332700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1616108",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rna of Rockford, PLLC
• Joshua Paul Roach, D.O.
• Violet Roberson, DO
• Robert Busan DDS, PLLC
• Sally Ann Roberts
• Sarah Elaine Robertson, MD
• Elisha Jamyce Robinson, MD
• Mark Robert Robinson, ATC, CSCS
• Florencia Lowenthal Robison, M.S., CCC-SLP
• Ann Marie Robles, APRN, NP-C

• Nephrology Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.

Verify at the official NPI Registry.