Active NPI
Jude Perez, M.D.
- Emergency Medicine Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036107605
- Practice address
- 5875 E Riverside Blvd
Rockford, IL 61114-4937 - Phone
- (158) 381-7431
- NPI assigned
- Jul 3, 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 036107605 | IL | |
| Emergency Medicine Physician | 207P00000X | 036107605 | IL | Primary |
Addresses
Primary practice location
5875 E Riverside Blvd
Rockford, IL 61114-4937
Mailing address
5875 E Riverside Blvd
Rockford, IL 61114-4937
Phone (158) 381-7431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36107605 | Medicaid | IL |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Perez.Jude@ro.eclinicaldirect.com | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | jperez366016@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Florida College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 E State St
Rockford, IL 61104-2315
Phone (779) 696-4400
945 N 12TH St
Milwaukee, WI 53233-1305
Phone (414) 219-7300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Ridge Health Inc. | Current | Accepting new patients | |
| Upland Hills Health, Inc. | Current | Accepting new patients | |
| Reedsburg Area Medical Center Inc | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Upland Hills Health, Inc | Emergency Medicine | Current | Accepting new patients |
| Reedsburg Area Medical Center, Inc. | Current | Accepting new patients | |
| Rockford Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Belvidere Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Reedsburg Area Medical Center, Inc. | Current | Accepting new patients | |
| St. Mary'S Health Inc | Past | Accepting new patients |
Locations
1625 S State St
Belvidere, IL 61008
Phone (815) 544-1846
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
707 14th St
Baraboo, WI 53913
Phone (608) 356-1400
1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200
800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200
430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200
3400 E Racine St
Janesville, WI 53546
Phone (608) 373-8000
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800
2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487
Interoperability endpoints
- perez.jude@ro.eclinicaldirect.com
- jperez262427@direct-ehr-ssmhc.com
Organizations & group practices 16
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.
-
- Emergency Medicine Physician
- Rockford, IL
- NPI 1639876634
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Emergency Medicine Physician
- Belvidere, IL
- NPI 1306543319
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Critical Access Hospital
- Reedsburg, WI
- NPI 1891796710
-
- Emergency Medicine Physician
- Madison, WI
- NPI 1588646095
-
- Critical Access Hospital
- Columbus, WI
- NPI 1841376183
-
dba Upland Hills Hospice
- Community Based Hospice Care Agency
- Dodgeville, WI
- NPI 1659472397
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
dba Prairie Ridge Health Clinic-Sun Prairie
- Family Medicine Physician
- Sun Prairie, WI
- NPI 1699534545
-
- Orthopaedic Surgery Physician
- Columbus, WI
- NPI 1912329335
-
dba RAMC La Valle Clinic
- Rural Health Clinic/Center
- La Valle, WI
- NPI 1437049566
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
-
dba SSM Health St Agnes Hospital Fond Du Lac
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1346228541
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
- Critical Access Hospital
- Columbus, WI
- NPI 1154403657
-
- Critical Access Hospital
- Columbus, WI
- NPI 1841376183
-
dba SSM Health St. Mary's Hospital - Janesville
- General Acute Care Hospital
- Janesville, WI
- NPI 1194004408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1194755587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5875 E RIVERSIDE BLVD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611144937",
"telephone_number": "158-381-7431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 E RIVERSIDE BLVD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611144937",
"telephone_number": "158-381-7431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JUDE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "IL",
"license": "036107605",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036107605",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36107605",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Perez.Jude@ro.eclinicaldirect.com",
"affiliation": "N",
"endpointDescription": "eCW email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5875 E Riverside Blvd",
"city": "Rockford",
"state": "IL",
"country_code": "US",
"postal_code": "611144937",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "5875 E Riverside Blvd",
"city": "Rockford",
"state": "IL",
"country_code": "US",
"postal_code": "611144937",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jperez366016@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5875 E Riverside Blvd",
"city": "Rockford",
"state": "IL",
"country_code": "US",
"postal_code": "611144937",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 25, 2023; 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.