NPIMap

Individual provider Active NPI

Teresa Pecherek-Rogers, MD

  • Family Medicine Physician
  • Plainfield, IL
National Provider Identifier
1114039831
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036103443 Issued in IL
Practice address
24012 W Renwick Rd
Suite 14
Plainfield, IL 60544-2108
Phone
(815) 436-9393
Fax
(815) 436-1654
NPI assigned
Aug 31, 2006
Last updated
Mar 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036103443 IL Primary

Addresses

Primary practice location

24012 W Renwick Rd
Suite 14
Plainfield, IL 60544-2108

Mailing address

24012 W Renwick Rd
Suite 14
Plainfield, IL 60544-8731
Phone (815) 436-9393

Other identifiers 2

IdentifierTypeStateIssuer
9932638OtherILBCBS
036103443MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080109000400 IL Practitioner - Family Practice 6406936939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rogers Medical, LTDGroup PAC ID 7214017748, 2 clinicians

Practice addresses (Care Compare)

24012 W Renwick Rd
Suite 14
Plainfield, IL 60544-8731
Phone (815) 436-9393

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Medical, LTD Family Medicine CurrentSince Jan 1, 2008 Accepting new patients

Locations

24012 W Renwick Rd
Ste 14
Plainfield, IL 60544
Phone (815) 436-9393

24012 W Renwick Rd
Unit 14
Plainfield, IL 60544
Phone (815) 436-9393

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHAECD/Endpoint/GHAECD

Organizations & group practices 1

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 7

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1114039831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24012 W RENWICK RD",
            "address_2": "SUITE 14",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605448731",
            "telephone_number": "815-436-9393",
            "fax_number": "815-436-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 W RENWICK RD",
            "address_2": "SUITE 14",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442108",
            "telephone_number": "815-436-9393",
            "fax_number": "815-436-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHEREK-ROGERS",
        "first_name": "TERESA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036103443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9932638",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103443",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.