Active NPI
Bruce E Semans, MD
- Clinical Medical Laboratory
- Rochester, IL
National Provider Identifier
1710083563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 036-099321
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008426749 | Other | IL | BLUE CROSS & BLUE SHIELD |
| 399465 | Other | IL | HEALTHLINK |
| 806979200 | Medicaid | ID | |
| 070016016 | Other | RAILROAD MEDICARE | |
| 7001271 | Medicaid | NC |
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 |
|---|---|---|---|---|
| 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 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-099321 | IL | MD | Clinical Medical Laboratory |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siu Physicians & Surgeons, Inc | Past | 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.
-
dba SIU HealthCare
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- Springfield, IL
- NPI 1558385989
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.