Active NPI
Vivian S Vanroekel, M.D.
- Internal Medicine Physician
- St Charles, IL
National Provider Identifier
1487657524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036064522
- Practice address
- 2900 Foxfield Rd
St Charles, IL 60174-5799 - Phone
- (630) 315-6790
- Fax
- (630) 315-6799
- NPI assigned
- May 23, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036064522 | IL | Primary |
Addresses
Primary practice location
2900 Foxfield Rd
St Charles, IL 60174-5799
Mailing address
2900 Foxfield Rd
St Charles, IL 60174-5799
Phone (630) 315-6790
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB1658 | Other | IL | MEDICARE RAILROAD (GROUP) |
| 920540 | Other | IL | MEDICARE PTAN (GROUP) |
| P01273137 | Other | IL | MEDICARE RAILROAD (INDIVIDUAL) |
| 036064522 | Medicaid | IL | |
| 920540026 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 56.32 of 100
- Quality
- 30.08
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 74.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1487657524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 FOXFIELD RD",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601745799",
"telephone_number": "630-315-6790",
"fax_number": "630-315-6799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 FOXFIELD RD",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601745799",
"telephone_number": "630-315-6790",
"fax_number": "630-315-6799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANROEKEL",
"first_name": "VIVIAN",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036064522",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD (GROUP)",
"identifier": "DB1658",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (GROUP)",
"identifier": "920540",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD (INDIVIDUAL)",
"identifier": "P01273137",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036064522",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (INDIVIDUAL)",
"identifier": "920540026",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.