NPIMap

Individual provider Active NPI

Caitlin Connie Rodeghier, DO

  • Emergency Medicine Physician
  • Peoria, IL
National Provider Identifier
1376107052
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036159676 Issued in IL
Practice address
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone
(309) 655-2109
NPI assigned
Apr 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 02006892A IN
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 036159676 IL Primary

Addresses

Primary practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Mailing address

719 Lake CT
New Lenox, IL 60451-3643
Phone (815) 260-3456

Other practice location 1

200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-5841

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address caitlin.rodeghier.1@15486.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220707000217 IL Practitioner - Emergency Medicine 3678805181 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Chicago College of Osteopathy, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Emergency Medicine Specialists LLCGroup PAC ID 6103071808, 43 clinicians

Practice addresses (Care Compare)

500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 312-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02006892AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince May 28, 2023 Accepting new patients
Statera Health Care, LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Lawrence County Memorial Hospital CurrentSince Aug 15, 2024 Accepting new patients
Iroquois Memorial Hospital and Resident Home CurrentSince Dec 9, 2024 Accepting new patients
Illinois Emergency Medicine Specialists, LLC CurrentSince Jul 4, 2023 Accepting new patients
Lawrence County Memorial Hospital CurrentSince Aug 15, 2024 Accepting new patients
Lawrence County Memorial Hospital Current Accepting new patients
Iroquois Memorial Hospital and Resident Home CurrentSince Dec 9, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince May 28, 2023 Accepting new patients
Associated Pathologists, LLC Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

Interoperability endpoints

  • Direct secure messaging: caitlin.rodeghier.1@15486.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1376107052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 LAKE CT",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513643",
            "telephone_number": "815-260-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616370001",
            "telephone_number": "309-655-2109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Fairman Ave",
            "address_purpose": "LOCATION",
            "city": "Watseka",
            "state": "IL",
            "postal_code": "609701644",
            "country_code": "US",
            "telephone_number": "815-432-5841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODEGHIER",
        "first_name": "CAITLIN",
        "middle_name": "CONNIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-27",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02006892A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036159676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caitlin.rodeghier.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 E Fairman Ave",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609701644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.