Nicholas Brandl Rossi, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

036148044 Issued in IL

Practice address

107 Tremont St
Hopedale, IL 61747-7525

Phone

(309) 449-4338

NPI assigned

Jun 3, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Neurosurgery

Education

Indiana University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hopedale Medical FoundationGroup PAC ID 1153363577, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hopedale Hospital Hospital, Hopedale, IL, CCN 141330
• Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
• Hopedale Hospital Nursing home, CCN 14Z330

Merit-based Incentive Payment System (MIPS)

Final score

91.05 of 100Reported as apm

Quality

72.1

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hopedale Medical Foundation

  • Critical Access Hospital
  • Hopedale, IL
  • NPI 1174569438

  Corporate Officer

  CMS ownership
• Hopedale Medical Foundation

  • Medicare Defined Swing Bed Hospital Unit
  • Hopedale, IL
  • NPI 1194857490

  Corporate Officer

  CMS ownership

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.

• Hopedale Medical Foundation

  • Emergency Medical Services (Emergency Medicine) Physician
  • Hopedale, IL
  • NPI 1801033071
  Medicare reassignment Care Compare group NPD
• Riverside Health System

  • General Practice Physician
  • Kankakee, IL
  • NPI 1417061193
  Medicare reassignment NPD
• Riverside Health System

  • Psychiatry Physician
  • Kankakee, IL
  • NPI 1336354430
  NPD
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)
• Hopedale Medical Foundation

  • Critical Access Hospital
  • Hopedale, IL
  • NPI 1174569438
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hopedale Medical Foundation

  • Critical Access Hospital
  • Hopedale, IL
  • NPI 1174569438
  Care Compare affiliation
• Hopedale Medical Foundation

  • Medicare Defined Swing Bed Hospital Unit
  • Hopedale, IL
  • NPI 1194857490

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295029510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TREMONT ST",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617477525",
            "telephone_number": "309-449-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TREMONT ST",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617477525",
            "telephone_number": "309-449-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "NICHOLAS",
        "middle_name": "BRANDL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "R2722",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036148044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Reinhart, APN, CNP
• Remedial Care LLC
• Alfred Nello Rossi, MD
• Lawrence J Rossi Jr., M.D.
• Matthew Brandl Rossi, MD
• Phillip Joseph Rossi, MD
• Witold Rybicki, MD
• Jennifer Lee Salmon, PTA,ATC
• Linda Schafrik
• Smalltown Dental Hopedale

• Neurological Surgery Physician in Hopedale, IL
• Providers in Hopedale, IL by specialty
• Neurological Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.