Active NPI
Steven Bach, D.O.
- Diagnostic Radiology Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036-131309
- Practice address
- 3871 N Perryville Rd
Rockford, IL 61114-8080 - Phone
- (815) 397-5554
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 5101016772 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | 036-131309 | IL | Primary |
Addresses
Primary practice location
3871 N Perryville Rd
Rockford, IL 61114-8080
Mailing address
3849 N. Perryvillle Road
Rockford, IL 61114
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
900 N 2ND St
Rochelle, IL 61068-1764
Phone (815) 562-2181
Hospital & facility affiliations
- FHN Memorial Hospital
- Rochelle Community Hospital
- Javon Bea Hospital
- Uw Health
- Northwestern Medicine Kishwaukee Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.08 of 100
- Quality
- 86.25
- Improvement activities
- 40
- Cost
- 77.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-131309 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camelot Radiology Associates LTD | Diagnostic Radiology | Current | Accepting new patients |
| Ultrasound of Belvidere LLC | Current | Accepting new patients | |
| Freeport Memorial Hospital | Current | Accepting new patients |
Locations
1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105
900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181
3849 N Perryville Rd
Rockford, IL 61114
Phone (815) 654-2486
3871 N Perryville Rd
Rockford, IL 61114
2670 DeKalb Ave
Sycamore, IL 60178
Phone (815) 561-2774
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Freeport, IL
- NPI 1841244753
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- Sonography Radiologic Technologist
- Belvidere, IL
- NPI 1376665224
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
-
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
-
- Critical Access Hospital
- Rochelle, IL
- NPI 1821053216
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1457568859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3849 N. PERRYVILLLE ROAD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3871 N PERRYVILLE RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611148080",
"telephone_number": "815-397-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACH",
"first_name": "STEVEN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2024-05-07",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "5101016772",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036-131309",
"primary": true
}
],
"identifiers": [],
"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 May 7, 2024; 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.