Active NPI
Jared Rogers, MD
- Family Medicine Physician
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036084031
- Practice address
- 702 W Chestnut St
Bloomington, IL 61701-2814 - Phone
- (309) 557-1400
- Fax
- (309) 557-1461
- NPI assigned
- Aug 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036084031 | IL | Primary |
Addresses
Primary practice location
702 W Chestnut St
Bloomington, IL 61701-2814
Mailing address
1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Phone (888) 924-3786
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36084031 | Other | IL | BCBS |
| 080190838 | Other | IL | RAILROAD MEDICARE |
| 023284 | Other | IL | HEALTH ALLIANCE |
| 472301 | Other | IL | HEALTHLINK |
| 7215059 | Other | IL | BCBS PPO |
| IL01N1 | Other | IL | JOHN DEERE |
| 036084031 | Medicaid | IL | |
| 0360840311 | Medicaid | IL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036084031 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chestnut Health Systems Inc. | Current | Accepting new patients | |
| Chestnut Health Systems Inc | Current | Accepting new patients | |
| Chestnut Health Systems, Inc | Past | Accepting new patients |
Locations
12 N 64th St
Belleville, IL 62223
Phone (618) 397-0900
1003 Martin Luther King Dr
Bloomington, IL 61701
Phone (309) 827-6026
720 W Chestnut St
Bloomington, IL 61701
Phone (309) 557-1400
1003 Martin Luther King Dr
Ste Ii
Bloomington, IL 61701
702 W Chestnut St
Bloomington, IL 61701
Phone (309) 557-1400
50 Northgate Industrial Dr
Granite City, IL 62040
Phone (618) 512-1919
2148 Vadalabene Dr
Maryville, IL 62062
Phone (618) 288-3100
Interoperability endpoints
- jared.rogers@cfhc.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bloomington, IL
- NPI 1366431686
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wood River, IL
- NPI 1235941311
-
- Federally Qualified Health Center (FQHC)
- Bloomington, IL
- NPI 1790055952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1285641530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 MARTIN LUTHER KING DR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617011429",
"telephone_number": "888-924-3786",
"fax_number": "309-820-3574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 W CHESTNUT ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617012814",
"telephone_number": "309-557-1400",
"fax_number": "309-557-1461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "JARED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036084031",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "36084031",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080190838",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "023284",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "472301",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PPO",
"identifier": "7215059",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "IL01N1",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036084031",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0360840311",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.