Richard Mark Styczynski, M.D.
Individual provider Active NPI Family Medicine Physician · Rock Falls, IL
NPI 1245329366 · NPPES record last updated Sep 12, 2024
Key facts
- NPI
- 1245329366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036060697 (IL)
- Practice address
- 1300 W 2ND St
Rock Falls, IL 61071-1005 - Phone
- (815) 626-2230
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Owned or controlled facilities with NPI records 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Heartland Home Nursing Inc |
Home health agency | Operational/Managerial Control (30%) | Dec 1, 2008 |
| Heartland Home Nursing Inc. |
Hospice | W-2 Managing Employee | Feb 9, 2009 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101026000168 | IL | Practitioner - Internal Medicine | 4385725050 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036060697 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Whiteside | Current |
Accepting new patients | |
| Gaffey Home Nursing & Hospice Inc. | Family Medicine | Current |
Accepting new patients |
| Gaffey Home Nursing & Hospice Inc. | Current | Accepting new patients | |
| CGH Medical Center | Current |
Accepting new patients | |
| CGH Medical Center | Family Medicine | Current |
Accepting new patients |
| CGH Medical Center | Current | Accepting new patients | |
| County of Whiteside | Internal Medicine | Current | Accepting new patients |
| Sterling Rock Falls Clinic | Past | Accepting new patients | |
| Sterling Rock Falls Clinic, LTD | Past | Accepting new patients |
Locations
711 S Division Ave
Polo, IL 61064
Phone (815) 946-3661
1300 W 2nd St
Rock Falls, IL 61071
1809 Locust St
Sterling, IL 61081
Phone (815) 564-4002
101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285
Interoperability endpoints
- richard.styczynski.p16@direct.fhn-fqhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036060697 | IL | |
| Family Medicine Physician | 207Q00000X | 036060697 | IL | Yes |
Addresses
Primary practice location
1300 W 2ND St
Rock Falls, IL 61071-1005
Mailing address
101 E Miller Rd
Sterling, IL 61081-1252
Phone (815) 625-4790
Other practice location 1
101 E Miller Rd
Sterling, IL 61081-1252
Phone (815) 625-4790
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110069191 | Other | RAILROAD MEDICARE | |
| 036060697 | Medicaid | IL | |
| 011550 | Other | IL | HEALTH ALLIANCE MEDICAL |
| 9815737 | Other | IL | BLUE CROSS BLUE SHIELD |
Other providers in Rock Falls, IL
- Steven C. Butzen DMD
- Stonitsch Health and Body Wellness
- Ronald Dee Stonitsch
- Susan Marie Stonitsch
- Structural Health Center, Inc.
- The Mindfulness Institute
- The Recovery Zone
- Transitions
- Tri-County Opportunities Council
- TS Staffing Services Inc
All providers in Rock Falls, 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 Sep 12, 2024. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.