Prabha Chand Dosi, M.D.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

036067824 Issued in IL

Practice address

1401 E. State Street
Rockford, IL 61104

Phone

(815) 489-4177

Fax

(815) 490-5906

NPI assigned

Jul 3, 2006

Last updated

Feb 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1689604969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 TIMBER TRAIL",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610329388",
            "telephone_number": "815-232-6822",
            "fax_number": "815-490-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E. STATE STREET",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61104",
            "telephone_number": "815-489-4177",
            "fax_number": "815-490-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSI",
        "first_name": "PRABHA",
        "middle_name": "CHAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IL",
            "license": "036067824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-067 824",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Machelle M Dopkins, CCC
• Lisa Marie Dorleans-Reyes, LCSW
• Katerina C Doronila-Hughes, MD
• Lisa M Dorsey-Bornfreedom, MD
• John T. Dorsey, MD
• Reannon Doty
• Mark Doubet, B.S.PHARM
• Double Legacy Transportation
• James F Dougherty, DO
• Karen Marie Dowell, PT

• Neonatal-Perinatal Medicine Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Neonatal-Perinatal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.