Organization Active NPI

Sidney P. Rohrscheib, M.D., PC

  • Surgery Physician
  • Clinton, IL
National Provider Identifier
1245269307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SIDNEY P. ROHRSCHEIB, M.D., PC
Practice address
803 Illini Dr
Clinton, IL 61727-9444
Phone
(217) 935-7037
Fax
(217) 935-7047
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sidney RohrscheibNPI 1073580122
Title
Owner
Phone
(217) 935-7037

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

803 Illini Dr
Clinton, IL 61727-9444

Mailing address

803 Illini Dr
Clinton, IL 61727-9444
Phone (217) 935-7037

Other names 1

  • Illinois Bariatric Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061019000296 IL Part B Supplier - Clinic/Group Practice 0547266256 Receives reassigned benefits from 2 practitioners
Practice locations: Carthage, IL; Champaign, IL; Clinton, IL; Mount Vernon, IL; Robinson, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245269307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 ILLINI DR",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617279444",
            "telephone_number": "217-935-7037",
            "fax_number": "217-935-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 ILLINI DR",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617279444",
            "telephone_number": "217-935-7037",
            "fax_number": "217-935-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY P. ROHRSCHEIB, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROHRSCHEIB",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-935-7037",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illinois Bariatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.