Individual provider Active NPI

Hugo R Steinitz, M.D.

  • Ophthalmology Physician
  • Rockford, IL
National Provider Identifier
1386975712
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036072030 Issued in IL
Practice address
3865 N Mulford Rd
Rockford, IL 61114-5603
Phone
(815) 399-2190
Fax
(815) 399-5543
NPI assigned
Jan 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036072030 IL Primary

Addresses

Primary practice location

3865 N Mulford Rd
Rockford, IL 61114-5603

Mailing address

3865 N Mulford Rd
Rockford, IL 61114-5603
Phone (815) 399-2190

Other identifiers 1

IdentifierTypeStateIssuer
036072030MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oksana Mensheha, M.D., S.C. Past Accepting new patients
Oksana Mensheha, M.D., S.C. PastSince Jan 1, 2005 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1386975712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 N MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611145603",
            "telephone_number": "815-399-2190",
            "fax_number": "815-399-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 N MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611145603",
            "telephone_number": "815-399-2190",
            "fax_number": "815-399-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINITZ",
        "first_name": "HUGO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-25",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036072030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072030",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "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 Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.