NPIMap

Individual provider Active NPI

Christine M Gorman, MD

  • Family Medicine Physician
  • Rochelle, IL
National Provider Identifier
1376656645
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036085234 Issued in IL
Practice address
900 N 2ND St
Suite 200
Rochelle, IL 61068-1764
Phone
(815) 562-3784
Fax
(815) 562-3814
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036085234 IL Primary

Addresses

Primary practice location

900 N 2ND St
Suite 200
Rochelle, IL 61068-1764

Mailing address

900 N 2ND St
Suite 200
Rochelle, IL 61068-1764
Phone (815) 562-3784

Other identifiers 1

IdentifierTypeStateIssuer
036085234MedicaidIL

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
I20031231000626 IL Practitioner - Family Practice 1850290545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rush Medical College of Rush University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochelle Community Hospital AssociationGroup PAC ID 4789581828, shared by 3 NPIs, 27 clinicians

Practice addresses (Care Compare)

900 N 2ND St
Rochelle, IL 61068-1764
Phone (815) 562-2181

Hospital & facility affiliations

  • In-Home Care Connection Home Health Services Home health agency, Moline, IL, CCN 148146
  • Osf Healthcare Home Care Home health agency, Loves Park, IL, CCN 147271
  • Rochelle Community Hospital Hospital, Rochelle, IL, CCN 141312
  • Osf Saint Katharine Medical Center Hospital, Dixon, IL, CCN 140012
  • Uw Health Hospital, Rockford, IL, CCN 140228
  • Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286
  • Saint Anthony Medical Center Hospital, Rockford, IL, CCN 140233

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

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochelle Community Hospital Association CurrentSince Nov 18, 2002 Accepting new patients
Rochelle Community Hospital Association CurrentSince Nov 18, 2002 Accepting new patients
Rochelle Community Hospital Association Family Medicine Current Accepting new patients
Gorman Family Medical Clinic, LLC Family Medicine Past Accepting new patients

Locations

900 N 2nd St
Ste 200
Rochelle, IL 61068
Phone (815) 562-2181

822 N 2nd St
Rochelle, IL 61068
Phone (815) 562-3784

900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181

Organizations & group practices 4

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 7

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1376656645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N 2ND ST",
            "address_2": "SUITE 200",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681764",
            "telephone_number": "815-562-3784",
            "fax_number": "815-562-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N 2ND ST",
            "address_2": "SUITE 200",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681764",
            "telephone_number": "815-562-3784",
            "fax_number": "815-562-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036085234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085234",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle, IL

Sources for this page

Verify at the official NPI Registry.