David L. Hansen, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-062691 Issued in IL

Practice address

5000 Prairie Rose Dr
Roscoe, IL 61073-7792

Phone

(815) 971-2000

Fax

(815) 971-9417

NPI assigned

Aug 30, 2006

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyhealth at Home Home health agency, Rockford, IL, CCN 147029
• Vna Hospice Hospice, Rockford, IL, CCN 141521
• Javon Bea Hospital Hospital, Rockford, IL, CCN 140239
• Uw Health Hospital, Rockford, IL, CCN 140228
• Beloit Health System Hospital, Beloit, WI, CCN 520100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dhansen48673@direct.mhemail.org

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.

• Rockford Health Physicians

  • Multi-Specialty Clinic/Center
  • Rockford, IL
  • NPI 1043242886
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Javon Bea Hospital

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1629118609
  Care Compare affiliation
• Mercyhealth Visiting Nurses Association, Inc

  • Home Health Agency
  • Rockford, IL
  • NPI 1093821654
  Care Compare affiliation
• Mercyhealth Visiting Nurses Association, Inc

  • Community Based Hospice Care Agency
  • Rockford, IL
  • NPI 1952407868
  Care Compare affiliation
• Swedishamerican Hospital

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1760542732
  Care Compare affiliation
• Beloit Health System Inc

  • General Acute Care Hospital
  • Beloit, WI
  • NPI 1982780094
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1689784878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PRAIRIE ROSE DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737792",
            "telephone_number": "815-971-2000",
            "fax_number": "815-971-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PRAIRIE ROSE DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737792",
            "telephone_number": "815-971-2000",
            "fax_number": "815-971-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "DAVID",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-062691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062691",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xiaoxiao Guo
• Jeffrey David Gurtizen, D.O.
• Emily Kathleen Hamaker, MD
• Lynn Carol Hamilton, LCPC
• Hands on Health Physical Therapy PC
• Ryan Hansen, OD
• Tarek Samir Harb, MD
• Harlem Roscoe Fire Protection District
• Hart Mobility LLC
• Carlina Hart, LCSW

• Internal Medicine Physician in Roscoe, IL
• Providers in Roscoe, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.
• 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.

Verify at the official NPI Registry.