Individual provider Active NPI

Richard Rotnicki, DO

  • Gastroenterology Physician
  • Morris, IL
National Provider Identifier
1427062850
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036082778 Issued in IL
Practice address
1715 N Division St Ste a
Morris, IL 60450-3122
Phone
(815) 942-1550
Fax
(815) 942-8419
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036082778 IL Primary

Addresses

Primary practice location

1715 N Division St Ste a
Morris, IL 60450-3122

Mailing address

1715 N Division St Ste a
Morris, IL 60450-3122
Phone (815) 942-1550

Other identifiers 2

IdentifierTypeStateIssuer
100010274OtherILRAILROAD MEDICARE
036082778MedicaidIL

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
I20040430000075 IL Practitioner - Gastroenterology 8921095209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Midwestern University, Chicago College of Osteopathic Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Health Associates PCGroup PAC ID 7517954886, 4 clinicians

Practice addresses (Care Compare)

1715 N Division St
Suite a
Morris, IL 60450-3122
Phone (815) 942-1550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.48 of 100Reported as individual
Quality
77.5
Improvement activities
40
Cost
68.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy346
Upper gastrointestinal (GI) endoscopy for acid reflux355

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Associates, P.C. Gastroenterology CurrentSince Jun 1, 2004 Accepting new patients
Gi Partners of Illinois, PLLC Gastroenterology CurrentSince Apr 1, 2018 Accepting new patients

Locations

1100 Houbolt Rd
Joliet, IL 60431
Phone (815) 725-5950

1880 W Winchester Rd
Ste 201
Libertyville, IL 60048
Phone (847) 247-0187

1715 N Division St
Ste A
Morris, IL 60450
Phone (815) 725-5950

Interoperability endpoints

  • Direct secure messaging: digestivehealth@rotnickigastro.ssdirect.aprima.com

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.

Hospital & facility affiliations 4

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1427062850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 N DIVISION ST STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503122",
            "telephone_number": "815-942-1550",
            "fax_number": "815-942-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N DIVISION ST STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503122",
            "telephone_number": "815-942-1550",
            "fax_number": "815-942-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTNICKI",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036082778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100010274",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082778",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.