Individual provider Active NPI

Rhonda R Verzal, MD

  • Family Medicine Physician
  • Rockford, IL
National Provider Identifier
1760701007
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-146484 Issued in IL
Practice address
1221 E State St
Rockford, IL 61104-2231
Phone
(815) 972-1000
Fax
(815) 972-1086
NPI assigned
May 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME111025 FL
Family Medicine Physician 207Q00000X 036-146484 IL Primary

Addresses

Primary practice location

1221 E State St
Rockford, IL 61104-2231

Mailing address

1601 Parkview Avenue
Credentialing S200C
Rockford, IL 61107-6846
Phone (815) 395-5861

Other identifiers 2

IdentifierTypeStateIssuer
004587400MedicaidFL
14K04OtherFLFLORIDA BLUE

Other names 1

  • Rhonda R Depaul Former name

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
I20180719003239 IL Practitioner - Family Practice 7214198605 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Board of Trustees of the University of IllinoisGroup PAC ID 3072422716, shared by 24 NPIs, 1,134 clinicians

Practice addresses (Care Compare)

1221 E State St
Rockford, IL 61104-2231
Phone (815) 972-1000

1401 E State St
Rockford, IL 61104-2315
Phone (312) 413-3282

Hospital & facility affiliations

  • Uw Health Hospital, Rockford, IL, CCN 140228
  • University of Illinois Hospital and Clinics Hospital, Chicago, IL, CCN 140150
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-146484ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 31, 2020 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 2, 2018 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 2, 2018 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Apr 13, 2021 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 31, 2020 Accepting new patients

Locations

2401 Harnish Dr
Algonquin, IL 60102
Phone (847) 458-5440

7736 Solution Ctr
Chicago, IL 60677

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1220 S Wood St
Chicago, IL 60608
Phone (312) 413-1261

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

1221 E State St
Rockford, IL 61104
Phone (815) 972-1000

1601 Parkview Ave
#S200C
Rockford, IL 61107

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

Interoperability endpoints

  • Direct secure messaging: rdepaul70350@uihealth.direct-ci.com

Organizations & group practices 7

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 3

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": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1760701007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 PARKVIEW AVENUE",
            "address_2": "CREDENTIALING S200C",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076846",
            "telephone_number": "815-395-5861",
            "fax_number": "815-395-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042231",
            "telephone_number": "815-972-1000",
            "fax_number": "815-972-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERZAL",
        "first_name": "RHONDA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME111025",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-146484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004587400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "14K04",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "DEPAUL",
            "middle_name": "R",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.