Active NPI
Olesya Brandis, MD
- Obstetrics & Gynecology Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036-125513
- Practice address
- 209 9TH St
Suite 200
Rockford, IL 61104-2235 - Phone
- (779) 696-2750
- Fax
- (779) 696-4196
- NPI assigned
- Aug 27, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
IL
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1013401033
-
- Home Health Agency
- Rockford, IL
- NPI 1255439774
-
- Home Infusion Agency
- Rockford, IL
- NPI 1285720763
-
- Family Medicine Physician
- Roscoe, IL
- NPI 1386054062
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1588093942
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
-
- Pharmacy
- Rockford, IL
- NPI 1891341939
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
-
- Obstetrics & Gynecology Physician
- Rockford, IL
- NPI 1497049084
Obstetrics & Gynecology
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Swedishamerican Hospital
Practice addresses (Care Compare)
1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4400
6824 Newburg Rd
Sa Valley
Rockford, IL 61108-4330
Phone (779) 696-7610
Hospital & facility affiliations
- Uw Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 83.2
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 71.7
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110607000176 | IL | Practitioner - Obstetrics/Gynecology | 5890972509 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-125513 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedishamerican Hospital | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Swedishamerican Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Swedishamerican Hospital | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients |
Locations
7736 Solution Ctr
Chicago, IL 60677
1601 Parkview Ave
Rockford, IL 61107
Phone (815) 395-0600
2780 McFarland Rd
Rockford, IL 61107
Phone (815) 637-0000
7180 Spring Brook Rd
Rockford, IL 61114
Phone (779) 696-2750
2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285
209 9th St
Ste 200
Rockford, IL 61104
Phone (779) 696-2750
1221 E State St
Rockford, IL 61104
Phone (815) 972-1000
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
Interoperability endpoints
- snovacheck1254766@direct.uwhealth.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036-125513 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
209 9TH St
Suite 200
Rockford, IL 61104-2235
Mailing address
PO Box 78866
Milwaukee, WI 53278-8866
Phone (779) 696-7150
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036125513 | Medicaid | IL |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | obrandis911924@direct.uwhealth.org |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 8, 2021.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1386950319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78866",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532788866",
"telephone_number": "779-696-7150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 9TH ST",
"address_2": "SUITE 200",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042235",
"telephone_number": "779-696-2750",
"fax_number": "779-696-4196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDIS",
"first_name": "OLESYA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-27",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036-125513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036125513",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "obrandis911924@direct.uwhealth.org",
"affiliation": "N",
"address_1": "209 9th St",
"address_2": "Suite 200",
"city": "Rockford",
"state": "IL",
"country_code": "US",
"postal_code": "611042235",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.
- 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.