Individual provider Active NPI

Olesya Brandis, MD

  • Obstetrics & Gynecology Physician
  • Rockford, IL
National Provider Identifier
1386950319
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-125513 Issued in IL
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.

View all 13

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 386 clinicians

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 Hospital, Rockford, IL, CCN 140228

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as group
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
036-125513ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedishamerican Hospital Current Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Swedishamerican Hospital Obstetrics & Gynecology CurrentSince Dec 1, 2016 Accepting new patients
Swedishamerican Hospital CurrentSince Dec 1, 2016 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 1, 2017 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 1, 2017 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

  • Direct secure messaging: snovacheck1254766@direct.uwhealth.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036-125513 IL Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
036125513MedicaidIL

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
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

Verify at the official NPI Registry.