Rolf R Stavig, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036075767 Issued in IL

Practice address

820 S Il Route 59
Suite a
Bartlett, IL 60103-1694

Phone

(630) 483-5930

Fax

(630) 483-5939

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Merit-based Incentive Payment System (MIPS)

Final score

95.63 of 100Reported as apm

Quality

88.47

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Roy J. Betti, M.D.S.C.

  • Clinic/Center
  • Carol Stream, IL
  • NPI 1861650889
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1265462089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S IL ROUTE 59",
            "address_2": "SUITE A",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031694",
            "telephone_number": "630-483-5930",
            "fax_number": "630-483-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S IL ROUTE 59",
            "address_2": "SUITE A",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031694",
            "telephone_number": "630-483-5930",
            "fax_number": "630-483-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVIG",
        "first_name": "ROLF",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036075767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPG HFS PAYEE ID",
            "identifier": "3631498336019001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "0222075",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "36-3149833",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036075767",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn C Soper, PT
• Amanda Lucille Soukup
• Lauren Spencer
• SRS Wellness & Vitality
• Lukas Starck
• Stearns Dental PC
• Madison Marie Steele, PA-C
• Josh Lee Stevens, D.C.
• Logan E Stiles
• Still Waters Center for Counseling, PLLC

• Family Medicine Physician in Bartlett, IL
• Providers in Bartlett, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.

Verify at the official NPI Registry.