Patricia Mary Panzica, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

336017507 Issued in IL

Practice address

5727 Strathmoor Dr
Rear 1
Rockford, IL 61107-5180

Phone

(815) 398-1527

Fax

(815) 398-1629

NPI assigned

Sep 1, 2006

Sex

Female

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

Other names 1

• Dr. Patricia Mary Kromelis Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Rockford Health Physicians

  dba Mercyhealth Physicians

  • Multi-Specialty Clinic/Center
  • Rockford, IL
  • NPI 1043242886
  Medicare reassignment NPD
• RMH Pathologists, LTD

  • Anatomic Pathology Physician
  • Rockford, IL
  • NPI 1184671992
  NPD
• Pediatric Associates of Rockford

  • Pediatrics Physician
  • Rockford, IL
  • NPI 1508913971
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1093827222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 STRATHMOOR DR",
            "address_2": "REAR 1",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075180",
            "telephone_number": "815-398-1527",
            "fax_number": "815-398-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5727 STRATHMOOR DR",
            "address_2": "REAR 1",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075180",
            "telephone_number": "815-398-1527",
            "fax_number": "815-398-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZICA",
        "first_name": "PATRICIA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "336017507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052723",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "KROMELIS",
            "middle_name": "MARY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Judd Ivan Jaurda Palonpon, DO
• Anna Katrina Pamula, OD
• Aristeidis Panagiotou
• Nimrata Pandher
• Dinesh C Pandya, D.P.M.
• Danielle Paoli
• Michael J Papke, DC
• Jennifer Papoccia
• Zayd Parekh, DO
• Felicia Michelle Parham, LCPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.