Active NPI
William Stephen Minore, M.D.
- Pain Medicine (Anesthesiology) Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 036.075603
- Practice address
- 1235 N Mulford Rd Ste 222
Rockford, IL 61107-3879 - Phone
- (815) 397-8400
- Fax
- (815) 229-0050
- NPI assigned
- Jul 10, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036-075603 | IL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036.075603 | IL | Primary |
Addresses
Primary practice location
1235 N Mulford Rd Ste 222
Rockford, IL 61107-3879
Mailing address
2202 Harlem Rd
Loves Park, IL 61111-2754
Phone (815) 877-4848
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036075603 | Medicaid | IL | |
| 027274 | Other | HEALTH ALLIANCE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Michigan Medical School, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1235 N Mulford Rd
Suite 222
Rockford, IL 61107-3879
Phone (815) 397-8400
1401 E State St
Rockford, IL 61104-2315
Phone (815) 968-4400
1625 S State St
Belvidere, IL 61008-5907
Phone (815) 544-1846
6824 Newburg Rd
Sa Valley
Rockford, IL 61108-4330
Phone (779) 696-7610
Hospital & facility affiliations
- Uw Health
- Osf Saint Katharine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 83.2
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 71.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-075603 | IL | MD | Anesthesiology Physician |
| 036.075603 | IL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Anesthesiologists Associated, L.L.C. | Anesthesiology | Current | Accepting new patients |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Medical Pain Management Services, LTD. | Current | Accepting new patients | |
| Rockford Hyperbaric Healing Center, Inc | Past | Accepting new patients |
Locations
2202 Harlem Rd
#200
Loves Park, IL 61111
Phone (815) 877-4848
2202 Harlem Rd
Loves Park, IL 61111
Phone (815) 877-4848
1235 N Mulford Rd
Rockford, IL 61107
Phone (815) 397-0077
2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
1235 N Mulford Rd
Ste 222
Rockford, IL 61107
Phone (815) 397-8400
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
Organizations & group practices 5
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.
-
- Pain Clinic/Center
- Rockford, IL
- NPI 1447276480
-
- Family Medicine Physician
- Rockford, IL
- NPI 1962451732
-
- Anesthesiology Physician
- Loves Park, IL
- NPI 1639128598
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Rockford, IL
- NPI 1790844959
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1104859107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 HARLEM RD",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611112754",
"telephone_number": "815-877-4848",
"fax_number": "815-654-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 N MULFORD RD STE 222",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611073879",
"telephone_number": "815-397-8400",
"fax_number": "815-229-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINORE",
"first_name": "WILLIAM",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036-075603",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036.075603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036075603",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "027274",
"state": null
}
],
"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 Jul 17, 2018; 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.