Active NPI
Alpa Boshku, M.D.
- Family Medicine Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036108692
- Practice address
- 6595 E State St
Rockford, IL 61108-2542 - Phone
- (815) 226-1300
- Fax
- (815) 226-1301
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Immediate Care North Chicago LLC
Practice addresses (Care Compare)
600 W Adams St
Chicago, IL 60661-3604
Phone (312) 506-0900
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040228000500 | IL | Practitioner - Family Practice | 1850288457 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients | |
| Wellnow Urgent Care, PC | Current | Accepting new patients |
Locations
4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000
600 W Adams St
Chicago, IL 60661
Phone (312) 506-0900
5961 N Lincoln Ave
Ste 102
Chicago, IL 60659
Phone 3127023923 ext. 23923
13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384
11475 N 2nd St
Machesney Pk, IL 61115
Phone (815) 543-5612
3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000
6595 E State St
Rockford, IL 61108
Phone (815) 226-1300
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036108692 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6595 E State St
Rockford, IL 61108-2542
Mailing address
11475 N 2ND St
Machesney Park, IL 61115-1285
Phone (815) 654-8000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 8, 2013.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362700800000",
"number": "1689680449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11475 N 2ND ST",
"city": "MACHESNEY PARK",
"state": "IL",
"postal_code": "611151285",
"telephone_number": "815-654-8000",
"fax_number": "815-654-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6595 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082542",
"telephone_number": "815-226-1300",
"fax_number": "815-226-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSHKU",
"first_name": "ALPA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2013-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036108692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Mar 8, 2013; 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.