Individual provider Active NPI

Robert Steven Wojcik Jr., M.D,

  • Surgery Physician
  • Peru, IL
National Provider Identifier
1770673204
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036-097787 Issued in IL
Practice address
920 West St
Suite 118
Peru, IL 61354-2763
Phone
(815) 223-6041
Fax
(815) 223-1463
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036-097787 IL Primary

Addresses

Primary practice location

920 West St
Suite 118
Peru, IL 61354-2763

Mailing address

1050 E Norris Dr
Suite 2B
Ottawa, IL 61350-1605
Phone (815) 433-3745

Other identifiers 1

IdentifierTypeStateIssuer
036097787MedicaidIL

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
I20100618000836 IL Practitioner - General Surgery 2769386242 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1050 E Norris Dr
Suite 3a Ortho
Ottawa, IL 61350-1646
Phone (815) 431-5746

Hospital & facility affiliations

  • Osf Saint Clare Medical Center Hospital, Princeton, IL, CCN 141337
  • Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110
  • Osf Saint Paul Medical Center Hospital, Mendota, IL, CCN 141310
  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067

Merit-based Incentive Payment System (MIPS)

Final score
72.41 of 100Reported as group
Quality
51.11
Improvement activities
40
Cost
73.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy161
Hernia repair - groin (open)31
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux117
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-097787ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Dec 16, 2024 Accepting new patients
Osf Healthcare System CurrentSince Jul 1, 2021 Accepting new patients
Osf Healthcare System Current Accepting new patients
Illinois Valley Surgical Associates, SC Surgery CurrentSince Nov 1, 2002 Accepting new patients
Osf Healthcare System CurrentSince Jul 1, 2021 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients

Locations

1405 E 12th St
Mendota, IL 61342
Phone (815) 538-2031

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

1050 E Norris Dr
Ste 3A
Ottawa, IL 61350
Phone (815) 431-5746

1209 Starfire Dr
Ste 3
Ottawa, IL 61350
Phone (815) 433-3745

1050 E Norris Dr
Ste 2B
Ottawa, IL 61350
Phone (815) 431-0785

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

920 West St
Peru, IL 61354
Phone (815) 223-2143

920 West St
Ste 118
Peru, IL 61354
Phone (815) 223-6041

925 West St
Peru, IL 61354
Phone (815) 223-3300

111 Spring St
Streator, IL 61364
Phone (815) 672-4587

Organizations & group practices 6

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1770673204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E NORRIS DR",
            "address_2": "SUITE 2B",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501605",
            "telephone_number": "815-433-3745",
            "fax_number": "815-433-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 WEST ST",
            "address_2": "SUITE 118",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542763",
            "telephone_number": "815-223-6041",
            "fax_number": "815-223-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJCIK",
        "first_name": "ROBERT",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-097787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036097787",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peru, IL

Sources for this page

Verify at the official NPI Registry.