Organization Active NPI

Rochelle Family Health Care Inc.

  • Family Medicine Physician
  • Rochelle, IL
National Provider Identifier
1114073731
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROCHELLE FAMILY HEALTH CARE INC.
Practice address
822 N 2ND St
Rochelle, IL 61068-1766
Phone
(815) 562-3784
NPI assigned
Jan 26, 2007
Last updated
Mar 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Pitamber PersaudNPI 1265489108
Title
MD Owner
Phone
(815) 562-3784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

822 N 2ND St
Rochelle, IL 61068-1766

Mailing address

PO Box 4474
Rockford, IL 61110-0974

Other identifiers 2

IdentifierTypeStateIssuer
0007132022OtherILBLUE SHIELD
036103193OtherILIDPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1114073731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4474",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611100974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 N 2ND ST",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681766",
            "telephone_number": "815-562-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHELLE FAMILY HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "PITAMBER",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "815-562-3784"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0007132022",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDPA",
            "identifier": "036103193",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.