Individual provider Active NPI

Phillip Joseph Rossi, MD

  • General Practice Physician
  • Hopedale, IL
National Provider Identifier
1114965225
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
036088911 Issued in IL
Practice address
107 Tremont St
Medical Arts Physicians
Hopedale, IL 61747-0267
Phone
(309) 449-4450
Fax
(309) 449-4488
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 036088911 IL Primary
Surgery Physician 208600000X 036088911 IL
Vascular Surgery Physician 2086S0129X 036088911 IL

Addresses

Primary practice location

107 Tremont St
Medical Arts Physicians
Hopedale, IL 61747-0267

Mailing address

PO Box 267
107 Tremont St
Hopedale, IL 61747-0267
Phone (309) 449-4450

Other identifiers 1

IdentifierTypeStateIssuer
036088911MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000098 IL Practitioner - General SurgeryPractitioner - General PracticePractitioner - Vascular Surgery 1850415944 Practice locations: Hopedale, IL

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: General Practice, Vascular Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 Tremont St
Hoepdale, IL 61747-7525
Phone (309) 449-4450

107 Tremont St
Medical Arts Physicians
Hopedale, IL 61747-0267

Hospital & facility affiliations

  • Osf Home Health-Eastern Region Home health agency, Bloomington, IL, CCN 147451
  • St. Francis Medical Center Home health agency, Peoria, IL, CCN 147243
  • Hopedale Hospital Hospital, Hopedale, IL, CCN 141330
  • Carle Health Pekin Hospital Hospital, Pekin, IL, CCN 140120
  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • St Joseph Medical Center Hospital, Bloomington, IL, CCN 140162
  • Abraham Lincoln Memorial Hospital Hospital, Lincoln, IL, CCN 141322
  • Hopedale Hospital Nursing home, CCN 14Z330
  • St Clara'S Rehab & Senior Care Nursing home, Lincoln, IL, CCN 145720

Merit-based Incentive Payment System (MIPS)

Final score
44.51 of 100Reported as individual
Improvement activities
0
Cost
89.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy80
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux62
Melanoma (skin cancer) excision31
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10
Removal of skin lesions39
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Community Hospital Association Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1114965225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "address_2": "107 TREMONT ST",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617470267",
            "telephone_number": "309-449-4450",
            "fax_number": "309-449-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TREMONT ST",
            "address_2": "MEDICAL ARTS PHYSICIANS",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617470267",
            "telephone_number": "309-449-4450",
            "fax_number": "309-449-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "PHILLIP",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036088911",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036088911",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036088911",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088911",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopedale, IL

Sources for this page

Verify at the official NPI Registry.