Individual provider Active NPI

Frederick J Gahl, MD

  • Pain Medicine (Anesthesiology) Physician
  • Rockford, IL
National Provider Identifier
1760443774
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036050046 Issued in IL
Practice address
2902 McFarland Rd Ste 100
Rockford, IL 61107-6801
Phone
(815) 316-7300
Fax
(815) 654-1067
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036050046 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X 036050046 IL Primary

Addresses

Primary practice location

2902 McFarland Rd Ste 100
Rockford, IL 61107-6801

Mailing address

2902 McFarland Rd Ste 100
Rockford, IL 61107-6801
Phone (815) 633-2225

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
I20110202000750 IL Practitioner - Pain ManagementPractitioner - Anesthesiology 8123208592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Medical College of Wisconsin, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Pain Center LTDGroup PAC ID 1658403357, 5 clinicians

Practice addresses (Care Compare)

2902 McFarland Rd
Suite 100
Rockford, IL 61107-6801
Phone (815) 316-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.11 of 100Reported as group
Quality
95
Improvement activities
40
Cost
77.04

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Pain Center LTD Pain Medicine CurrentSince Jan 1, 2011 Accepting new patients

Locations

2902 McFarland Rd
Ste 100
Rockford, IL 61107
Phone (815) 316-7300

2902 McFarland Rd
Ste 202
Rockford, IL 61107
Phone (815) 316-7300

6785 Weaver Rd
Ste D
Rockford, IL 61114
Phone (815) 633-8545

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJGBD

Organizations & group practices 1

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1760443774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 MCFARLAND RD STE 100",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076801",
            "telephone_number": "815-633-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 MCFARLAND RD STE 100",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076801",
            "telephone_number": "815-316-7300",
            "fax_number": "815-654-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAHL",
        "first_name": "FREDERICK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036050046",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036050046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.