Douglas Paul Roegner, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

036099544 Issued in IL

Practice address

351 Executive Pkwy
Rockford, IL 61107-5339

Phone

(815) 398-4057

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/uc30108_rockforduroassoc

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.

• Rockford Urological Associates, LTD.

  • Urology Physician
  • Rockford, IL
  • NPI 1194786558
  Medicare reassignment NPD
• United Shockwave Services, LTD.

  • Ambulatory Surgical Clinic/Center
  • La Grange, IL
  • NPI 1336526219
  NPD
• United Shockwave Services, LTD.

  • Urology Physician
  • Park Ridge, IL
  • NPI 1497132377
  NPD
• United Shockwave Services, LTD.

  • Lithotripsy Clinic/Center
  • Park Ridge, IL
  • NPI 1811944515

  Urology

  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1396725503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 EXECUTIVE PKWY",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075339",
            "telephone_number": "815-398-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 EXECUTIVE PKWY",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075339",
            "telephone_number": "815-398-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEGNER",
        "first_name": "DOUGLAS",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036099544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099544",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Suzanne Rodriguez, APRN
• Isabella Rodriguez
• Itzayana Rodriguez
• Pedro Rodriguez, MD
• Jack Rodriquez, MD
• Jennifer S Roessler, PT, MPT
• Ashley R Rogers, ATC
• Catherine A Rogers, APRN
• Craig B. Rogers, MD
• Deborah Kay Rogers, PHARM.D.

• Urology Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.

Verify at the official NPI Registry.