Individual provider Active NPI

John J. Bottros, M.D.

  • Orthopaedic Surgery Physician
  • Rockford, IL
National Provider Identifier
1467635524
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036128556 Issued in IL
Practice address
5875 E Riverside Blvd
Rockford, IL 61114-4937
Phone
(815) 398-9491
Fax
(815) 381-7498
NPI assigned
Dec 12, 2007
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036128556 IL Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 036128556 IL

Addresses

Primary practice location

5875 E Riverside Blvd
Rockford, IL 61114-4937

Mailing address

PO Box 735263
Chicago, IL 60673-5263

Other practice location 1

324 Roxbury Rd
Rockford, IL 61107-5090
Phone (815) 398-9491

Other identifiers 1

IdentifierTypeStateIssuer
036128556MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Bottros.John@ro.eclinicaldirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110816000840 IL Practitioner - Orthopedic Surgery 5496924078 Reassigns benefits to 2 organizations
I20230623002690 WI Practitioner - Orthopedic Surgery 5496924078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of Ny Upstate Medical University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Orthopaedics at Rush LLCGroup PAC ID 0244143196, 17 clinicians
Orthomidwest, PLLCGroup PAC ID 0749183713, 531 clinicians

Practice addresses (Care Compare)

1611 W Harrison St
Suite 400
Chicago, IL 60612-4861
Phone (312) 432-2300

2902 McFarland Rd
Suite 300
Rockford, IL 61107-6801
Phone (815) 398-9491

324 Roxbury Rd
Rockford, IL 61107-5090
Phone (815) 398-9491

5875 E Riverside Blvd
Rockford, IL 61114-4937
Phone (815) 398-9491

650 S Randall Rd
Algonquin, IL 60102-5944
Phone (815) 381-7431

770 Beloit Rd
Belvidere, IL 61008-1745
Phone (815) 398-9491

8400 Lakeview Pkwy
Suite 800
Pleasant Prairie, WI 53158-5819
Phone (877) 632-6637

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.02 of 100Reported as group
Quality
68.63
Promoting interoperability
100
Improvement activities
40
Cost
78.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement80
Knee replacement199
Lower limb (leg) arthroscopy (minimally invasive joint repair)25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036128556ILMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopaedics at Rush LLC CurrentSince Jan 1, 2024 Accepting new patients
Midwest Orthopaedics at Rush, LLC Orthopaedic Surgery CurrentSince Jan 1, 2024 Accepting new patients

Locations

1611 W Harrison St
#400
Chicago, IL 60612
Phone (312) 243-4244

1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

8400 Lakeview Pkwy
Ste 800
Pleasant Prairie, WI 53158
Phone (262) 455-7548

Interoperability endpoints

  • Direct secure messaging: bottros.john@ro.eclinicaldirect.com
  • Direct secure messaging: john.bottros@ro.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1467635524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735263",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 E RIVERSIDE BLVD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144937",
            "telephone_number": "815-398-9491",
            "fax_number": "815-381-7498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 Roxbury Rd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611075090",
            "country_code": "US",
            "telephone_number": "815-398-9491",
            "fax_number": "815-381-7498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTTROS",
        "first_name": "JOHN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036128556",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "IL",
            "license": "036128556",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036128556",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bottros.John@ro.eclinicaldirect.com",
            "affiliation": "N",
            "endpointDescription": "eCW email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5875 E Riverside Blvd",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611144937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.