Individual provider Active NPI

Joseph P. Rolens, DPM

  • Podiatrist
  • Springfield, IL
National Provider Identifier
1710329271
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016.005708 Issued in IL
Practice address
1001 Clock Tower Dr
Suite a
Springfield, IL 62704-1383
Phone
(217) 787-7513
NPI assigned
Jul 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016.005708 IL Primary

Addresses

Primary practice location

1001 Clock Tower Dr
Suite a
Springfield, IL 62704-1383

Mailing address

1001 Clock Tower Dr
Suite a
Springfield, IL 62704-1383
Phone (217) 787-7513

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622000030 IL Practitioner - Podiatry 3577854512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prairie Podiatry LLCGroup PAC ID 9436275369, 3 clinicians

Practice addresses (Care Compare)

102 S Grand Ave W
Springfield, IL 62704-3806
Phone (217) 787-7513

2070 W Iles Ave
Springfield, IL 62704-4174
Phone (217) 698-6228

Hospital & facility affiliations

  • St Francis Hospital Hospital, Litchfield, IL, CCN 141350

Merit-based Incentive Payment System (MIPS)

Final score
70.94 of 100Reported as individual
Quality
27.12
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue55
Removal of skin lesions1-10
Removal of nail tissue1168
Removal or shaving of skin growth625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.005708ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Podiatry L.L.C. Podiatrist CurrentSince Apr 1, 2025 Accepting new patients
Rolens Podiatry Inc Podiatrist CurrentSince Jul 1, 2016 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Primehealth of Kentucky LLC Podiatrist Past Accepting new patients

Locations

102 South Grand Ave W
Springfield, IL 62704
Phone (217) 523-4539

1001 Clock Tower Dr
Ste A
Springfield, IL 62704
Phone (217) 583-4242

2070 W Iles Ave
Springfield, IL 62704
Phone (217) 698-6228

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1710329271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CLOCK TOWER DR",
            "address_2": "SUITE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041383",
            "telephone_number": "217-787-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CLOCK TOWER DR",
            "address_2": "SUITE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041383",
            "telephone_number": "217-787-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLENS",
        "first_name": "JOSEPH",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-25",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016.005708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.