Individual provider Active NPI

Steven Bach, D.O.

  • Diagnostic Radiology Physician
  • Rockford, IL
National Provider Identifier
1457568859
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036-131309 Issued in IL
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

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130112000067 IL Practitioner - Diagnostic Radiology 9436327707 Reassigns benefits to 2 organizations

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
Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians
Camelot Radiology Associates LTDGroup PAC ID 4880580521, 24 clinicians

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 Hospital, Freeport, IL, CCN 140160
  • Rochelle Community Hospital Hospital, Rochelle, IL, CCN 141312
  • Javon Bea Hospital Hospital, Rockford, IL, CCN 140239
  • Uw Health Hospital, Rockford, IL, CCN 140228
  • Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286

Merit-based Incentive Payment System (MIPS)

Final score
87.08 of 100Reported as group
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

LicenseStateTypeSpecialty
036-131309ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camelot Radiology Associates LTD Diagnostic Radiology CurrentSince Nov 1, 2012 Accepting new patients
Ultrasound of Belvidere LLC CurrentSince Dec 1, 2015 Accepting new patients
Freeport Memorial Hospital CurrentSince Nov 1, 2012 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.