Individual provider Active NPI

Bruce E Semans, MD

  • Clinical Medical Laboratory
  • Rochester, IL
National Provider Identifier
1710083563
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
036-099321 Issued in IL
Practice address
101 E Main St
Rochester, IL 62563-9507
Phone
(217) 498-5949
Fax
(217) 498-5950
NPI assigned
Sep 16, 2006
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 036-099321 IL Primary

Addresses

Primary practice location

101 E Main St
Rochester, IL 62563-9507

Mailing address

101 E Main St
Rochester, IL 62563-9507
Phone (217) 498-5949

Other identifiers 5

IdentifierTypeStateIssuer
0008426749OtherILBLUE CROSS & BLUE SHIELD
399465OtherILHEALTHLINK
806979200MedicaidID
070016016OtherRAILROAD MEDICARE
7001271MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000588 IL Practitioner - Pathology 9830166180 Practice locations: Rochester, IL

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Wisconsin School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 E Main St
Rochester, IL 62563-9507
Phone (217) 498-5949

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-099321ILMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
Siu Physicians & Surgeons, Inc PastSince Aug 1, 2021 Accepting new patients
A.N.N. Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1710083563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST",
            "city": "ROCHESTER",
            "state": "IL",
            "postal_code": "625639507",
            "telephone_number": "217-498-5949",
            "fax_number": "217-498-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST",
            "city": "ROCHESTER",
            "state": "IL",
            "postal_code": "625639507",
            "telephone_number": "217-498-5949",
            "fax_number": "217-498-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMANS",
        "first_name": "BRUCE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "036-099321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "0008426749",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "399465",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806979200",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070016016",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001271",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, IL

Sources for this page

Verify at the official NPI Registry.