Active NPI
Susan J Deguide, M.D.
- Internal Medicine Physician
- Rockford, IL
National Provider Identifier
1609801224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036100246
- Practice address
- 2601 N Main St
Rockford, IL 61103 - Phone
- (815) 987-1802
- Fax
- (815) 987-1806
- NPI assigned
- Jul 12, 2006
- 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 | 036100246 | IL | Primary |
Addresses
Primary practice location
2601 N Main St
Rockford, IL 61103
Mailing address
PO Box 78866
Milwaukee, WI 53278-8866
Phone (779) 696-7150
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sdeguidemd915147@direct.uwhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036100246 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedishamerican Hospital | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- lhanks482134@direct.uwhealth.org
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1609801224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78866",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532788866",
"telephone_number": "779-696-7150",
"fax_number": "779-696-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 N MAIN ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61103",
"telephone_number": "815-987-1802",
"fax_number": "815-987-1806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGUIDE",
"first_name": "SUSAN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036100246",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sdeguidemd915147@direct.uwhealth.org",
"affiliation": "N",
"address_1": "2601 N Main St",
"city": "Rockford",
"state": "IL",
"country_code": "US",
"postal_code": "61103",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.