Beloit Health System Inc
Organization Active NPI Family Medicine Physician · Roscoe, IL
NPI 1194918490 · NPPES record last updated Mar 18, 2025
Key facts
- NPI
- 1194918490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BELOIT HEALTH SYSTEM INC
- Practice address
- 5605 E Rockton Rd
Roscoe, IL 61073-7601 - Phone
- (608) 364-5123
- NPI assigned
- Aug 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Julia F Egebrecht
- Title
- Director, Revenue Cycle
- Phone
- (608) 364-1615
Other NPIs on the same Medicare enrollment 1
Practitioners 6
-
Nicole M Simpson, N.P.
-
Sara R. Avery, PA-C
-
Michael M. Korbol, P.A.
-
John Peder Littlefield, P.A.
-
Rebecca K Malkow, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080204000702 | IL | Part B Supplier - Clinic/Group Practice | 8224947858 |
Receives reassigned benefits from 71 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Roscoe, IL; South Beloit, IL |
National Provider Directory
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f4477d7c-dbb4-4046-92c9-1cc56c248ecb/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Geriatric Medicine (Family Medicine) Physician |
207QG0300X | |||
| Internal Medicine Physician |
207R00000X | |||
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Pediatrics Physician |
208000000X | |||
| Body Imaging Physician |
2085B0100X | |||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Ophthalmologic Surgery Clinic/Center | 261QS0132X |
Addresses
Primary practice location
5605 E Rockton Rd
Roscoe, IL 61073-7601
Mailing address
1905 E Huebbe Pkwy
5TH Floor, #5023
Beloit, WI 53511-2230
Phone (608) 364-1615
Other names
- NorthPointe Health
Other providers in Roscoe, IL
- Suzanne Bates
- BDD Eds PC
- Taylor Becker
- Bedazzled Salon and Spa
- Beloit Clinic SC
- Beloit Health System Inc
- Beloit Health System Inc
- Beloit Health System, Inc
- Marek S Bentkowski
- Melissa Berg
All providers in Roscoe, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.