George B. Beranek, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036074448 Issued in IL

Practice address

2400 N Rockton Ave
Rockford, IL 61103-3655

Phone

(815) 971-3333

NPI assigned

Nov 7, 2005

Last updated

Jan 11, 2010By the provider in NPPES

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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Serenity Point Hospice LLC

  • Community Based Hospice Care Agency
  • Canton, IL
  • NPI 1831795632

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis Medical Center, Aledo

  dba MercyOne Genesis Aledo Medical Center

  • Critical Access Hospital
  • Aledo, IL
  • NPI 1225380967
  Medicare reassignment NPD
• Hopedale Medical Foundation

  • Emergency Medical Services (Emergency Medicine) Physician
  • Hopedale, IL
  • NPI 1801033071
  Medicare reassignment NPD
• Osf Healthcare System

  dba Osf Holy Family Medical Center

  • Critical Access Hospital
  • Monmouth, IL
  • NPI 1548393184
  Medicare reassignment NPD
• Rockford Health Physicians

  dba Mercyhealth Physicians

  • Multi-Specialty Clinic/Center
  • Rockford, IL
  • NPI 1043242886
  Medicare reassignment NPD
• Hopedale Medical Foundation

  dba Hopedale Medical Complex

  • Critical Access Hospital
  • Hopedale, IL
  • NPI 1174569438
  Medicare reassignment
• Genesis Medical Center, Aledo

  dba Genesis Health Group, Aledo

  • Clinic/Center
  • Aledo, IL
  • NPI 1053664938
  NPD
• Genesis Medical Center, Aledo

  dba MercyOne Genesis Aledo Medical Center

  • Critical Access Hospital
  • Aledo, IL
  • NPI 1427301308
  NPD
• RMH Pathologists, LTD

  • Anatomic Pathology Physician
  • Rockford, IL
  • NPI 1184671992
  NPD
• Serenity Point Hospice LLC

  • Community Based Hospice Care Agency
  • Canton, IL
  • NPI 1831795632
  NPD
• Genesis Medical Center, Aledo

  dba Genesis Health Group, Aledo

  • Podiatrist
  • Aledo, IL
  • NPI 1972856854
  NPD (past)
• Hoopeston Emergency Medicine Specialists, LTD.

  • Emergency Medicine Physician
  • Hoopeston, IL
  • NPI 1316965197
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1295716330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N ROCKTON AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611033655",
            "telephone_number": "815-971-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ROCKTON AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611033655",
            "telephone_number": "815-971-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERANEK",
        "first_name": "GEORGE",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036074448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074448",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle L Bennett, APRN
• Chelsea Benson, PTA
• Debra J Benson, MS CCC-SLP
• Jennifer Helen Benters, CPNP
• Daniel A Bentley, PA
• Corlis Berchiolly, SLP
• Jessica Berei, PHARMD
• Deanna Lynn Berg
• Jordan L Berg, MD
• Kyle T Bergan, DNP, APRN, FNP-C

• Emergency Medicine Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.