Active NPI
Edward Andrew Telfer, M.D.
- Cardiovascular Disease Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 36081182
- Practice address
- 444 Roxbury Road
Rockford, IL 61107-5059 - Phone
- (815) 398-3000
- Fax
- (815) 398-3041
- NPI assigned
- Jul 18, 2006
- Last updated
- Nov 12, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 36081182 | IL | Primary |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 36081182 | IL | |
| Body Imaging Physician | 2085B0100X | 36081182 | IL | |
| Diagnostic Ultrasound Physician | 2085U0001X | 36081182 | IL |
Addresses
Primary practice location
444 Roxbury Road
Rockford, IL 61107-5059
Mailing address
PO Box 6003
Rockford, IL 61126-6003
Phone (815) 398-3000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB0709/P00149580 | Other | GA | RR MEDICARE GROUP#/PIN |
| 036081182 1 | Medicaid | IL | |
| 101 15504 | Other | IL | B/C B/S OF ILLINOIS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- University of Michigan Medical School, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
444 Roxbury Rd
Rockford, IL 61107-5059
Phone (815) 398-3000
Hospital & facility affiliations
- Saint Anthony Medical Center
- Osf Saint Paul Medical Center
- Rochelle Community Hospital
- Northwestern Medicine Kishwaukee Hospital
- Osf Saint Elizabeth MDL Ctr
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36081182 | IL | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Cardiac Arrhythmia Consultants, LTD | Clinical Cardiac Electrophysiology | Past | Accepting new patients |
| Rockford Cardiology Associates, LTD | Cardiovascular Disease | Past | Accepting new patients |
Locations
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
444 Roxbury Rd
Rockford, IL 61107
Phone (815) 395-9196
5668 E State St
Ste 2500
Rockford, IL 61108
Phone (812) 398-3000
1850 Gateway Dr
Sycamore, IL 60178
Phone (815) 217-3252
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Clinical Cardiac Electrophysiology Physician
- Chicago, IL
- NPI 1306962055
-
- Cardiovascular Disease Physician
- Rockford, IL
- NPI 1699775775
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Kishwaukee Hospital
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
-
dba OSF Saint Paul Medical Center
- Critical Access Hospital
- Mendota, IL
- NPI 1609803113
-
dba OSF Saint Elizabeth Medical Center
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- Critical Access Hospital
- Rochelle, IL
- NPI 1821053216
-
dba OSF Saint Anthony Medical Center
- General Acute Care Hospital
- Rockford, IL
- NPI 1790739977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257984000000",
"number": "1700805249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6003",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611266003",
"telephone_number": "815-398-3000",
"fax_number": "815-391-5096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 ROXBURY ROAD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075059",
"telephone_number": "815-398-3000",
"fax_number": "815-398-3041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELFER",
"first_name": "EDWARD",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2009-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "36081182",
"primary": true
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IL",
"license": "36081182",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "IL",
"license": "36081182",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "IL",
"license": "36081182",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP#/PIN",
"identifier": "CB0709/P00149580",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036081182 1",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B/C B/S OF ILLINOIS",
"identifier": "101 15504",
"state": "IL"
}
],
"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 Nov 12, 2009; 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.