Active NPI
Robert Bruce Rosenberg, M.D.
- Obstetrics & Gynecology Physician
- Grayslake, IL
National Provider Identifier
1477535151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036093911
- Practice address
- 1170 E Belvidere Rd
Suite 102
Grayslake, IL 60030-2061 - Phone
- (847) 548-9999
- Fax
- (847) 548-8890
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036093911 | IL | Primary |
Addresses
Primary practice location
1170 E Belvidere Rd
Suite 102
Grayslake, IL 60030-2061
Mailing address
1170 E Belvidere Rd
Suite 102
Grayslake, IL 60030-2061
Phone (847) 548-9999
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rrosenberg237869@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
- Obstetrics/Gynecology
- Education
- College of Medicine and Surgery, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 S Milwaukee Ave
Suite 100
Libertyville, IL 60048-3204
Phone (847) 680-3400
Hospital & facility affiliations
- Advocate Condell Medical Center
- Northwestern Lake Forest Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB-Gyne Associates of Libertyville, SC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
801 S Milwaukee Ave
Ste 100
Libertyville, IL 60048
Phone (847) 680-3400
Interoperability endpoints
- rrosenberg237869@direct.myadvocateaurora.org
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1147
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Libertyville, IL
- NPI 1457563272
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Libertyville, IL
- NPI 1124272547
-
- Mobile Mammography Clinic/Center
- Grayslake, IL
- NPI 1770737199
Hospital
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1477535151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 E BELVIDERE RD",
"address_2": "SUITE 102",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600302061",
"telephone_number": "847-548-9999",
"fax_number": "847-548-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 E BELVIDERE RD",
"address_2": "SUITE 102",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600302061",
"telephone_number": "847-548-9999",
"fax_number": "847-548-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "ROBERT",
"middle_name": "BRUCE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036093911",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rrosenberg237869@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1170 E Belvidere Rd",
"address_2": "SUITE 102",
"city": "Grayslake",
"state": "IL",
"country_code": "US",
"postal_code": "600302061",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1170 E Belvidere Rd",
"address_2": "SUITE 102",
"city": "Grayslake",
"state": "IL",
"country_code": "US",
"postal_code": "600302061",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.