Saint Anthony Medical Center
Organization Active NPI General Acute Care Hospital · Rockford, IL
NPI 1790739977 · NPPES record last updated Apr 2, 2026
Key facts
- NPI
- 1790739977
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 0002253 (IL)
- Legal business name
- SAINT ANTHONY MEDICAL CENTER
- Practice address
- 5666 E State St
Rockford, IL 61108-2425 - Phone
- (815) 226-2000
- Fax
- (815) 395-5449
- NPI assigned
- May 20, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- OSF HEALTHCARE SYSTEM
Authorized official
- Name
- Kirsten Marie Largent
- Title
- Cfo
- Phone
- (309) 308-5255
Owners & managing parties with NPI records 1
Other NPIs on the same Medicare enrollment 16
Other NPIs with the same Medicare PAC ID 3
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 76
Practitioners 52
-
Iftekhar Y Ahmad, M.D.
-
Alissa M Bartel, APN FNP-BC
-
Lydia Jane Combs, NP
-
Jason M Doetch, PA-C
-
Kelechi Emuchay, MD
-
Megan Paige Griesman, APRN
-
Benjamin Guth, DNP
-
Amy R Henderson, PA-C
-
Michele Dawn Johnson, APN
-
Matthew S. Keene, DPM
-
Jack W Lenox, M.D.
-
Thomas Magerl, APN
-
Nicole M Moore, APN
-
Kinda Muslemani, M.D.
-
Mary B O'Meara, FNP
-
Andrea P Rossow, APN
-
Noah James Simon, M.D.
-
Rachel Skoumal, APRN
Affiliated clinicians 693
-
Muhanad Abou Touk, M.D
-
Shenelle Acoy, FNP-BC
-
Adeniyi C Ademoyo, CRNA
-
Mohammed S Afzal, M.D.
-
Alyssa M Aguilar, FNP-C
-
Faheem Ahmad, MD
-
Iftekhar Y Ahmad, M.D.
-
Mashood Ahmad, MD
-
Waqas Ahmad, MD
-
Faheemuddin A Ahmed, M.D.
-
Nausheen Ahmed, MD
-
Syed M Ahmed, M.D.
-
Amira Al-Basha, PA-C
-
Maria I Al-Basha, MD
-
Javad Alam, M.D.
-
Azra Ali, M.D.
-
Mir A Alikhan, M.D.
-
Abdulhamid H Alkhalaf, M.D.
Medicare Care Compare: Hospital
- Listed as
- Saint Anthony Medical Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Church
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL
Hospital certification: CCN 140233
- Legal name
- SAINT ANTHONY MEDICAL CENTER
- Doing business as
- OSF SAINT ANTHONY MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Aug 30, 2018
- Beds
- 254
- Ownership / control type
- Church
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 5666 E State St
Rockford, IL 61108-2425 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Patricia a Brazeau |
Corporate Officer | Oct 1, 2006 | |
| Corporate Director |
Jan 1, 2016 | ||
| Anne M Ziegler |
Corporate Director |
Jan 1, 2021 | |
| Melanie R Mann |
Corporate Officer | Oct 6, 2024 | |
| Corporate Director |
Oct 1, 2006 | ||
| August Querciagrossa |
W-2 Managing Employee |
Aug 29, 2022 | |
| Operational/Managerial Control |
Aug 29, 2022 | ||
| Alec P Grabowski |
W-2 Managing Employee |
Apr 1, 2025 | |
| Operational/Managerial Control |
Apr 1, 2025 | ||
| Gerald J McShane |
Corporate Director |
Sep 1, 1996 | |
| Osf Healthcare Ministries |
Operational/Managerial Control | Nov 1, 2024 | |
| Kathleen F Williams |
Corporate Officer |
Nov 1, 2014 | |
| Corporate Director |
Sep 1, 2007 | ||
| Kirsten M Largent |
Corporate Officer |
Nov 8, 2024 | |
| W-2 Managing Employee |
Nov 8, 2024 | ||
| Operational/Managerial Control |
Nov 8, 2024 | ||
| Osf Healthcare System |
Operational/Managerial Control | Sep 1, 2007 | |
| Michelle D Conger |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Jan 1, 2025 | ||
| Operational/Managerial Control |
Jan 1, 2025 | ||
| Judith a Duvall |
Corporate Officer | Oct 1, 2006 | |
| Corporate Director |
Oct 1, 1989 | ||
| Brian J Silverstein |
Corporate Director |
Nov 1, 2014 | |
| Paula K Selamat |
Corporate Director |
Oct 6, 2024 | |
| Bridget J Meidl |
Corporate Officer |
Apr 4, 2026 | |
| Corporate Director |
Nov 1, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040102000555 | IL | Part B Supplier - Clinic/Group Practice | 5496654006 |
Receives reassigned benefits from 73 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Loves Park, IL; Mendota, IL; Rochelle, IL; Rockford, IL |
| O20071207000406 | IL | Part a Provider - Hospital | 5496654006 | Practice locations: Sycamore, IL; Rockford, IL; Loves Park, IL; Byron, IL; Belvidere, IL |
National Provider Directory
- Part of
- Eastland Med Plaza Surg
Locations
1916 Gateway Center Dr
Belvidere, IL 61008
Phone (815) 547-9580
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 0002253 | IL | Yes |
Addresses
Primary practice location
5666 E State St
Rockford, IL 61108-2425
Mailing address
124 SW Adams St
Peoria, IL 61602-1308
Phone (309) 655-2850
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0371 | Other | IL | BLUE CROSS |
| 0924803 | Medicaid | IA |
Other names
- OSF Saint Anthony Medical Center
- OSF HealthCare Saint Anthony Medical Center
Other providers in Rockford, IL
- Saint Anthony Medical Center
- Saint Anthony Medical Center
- Saint Anthony Medical Center
- Saint Anthony Medical Center
- Saint Anthony Medical Center
- Saint Anthony Medical Center
- Saint Anthony Medical Center
- Saint Anthony Medical Center
- Saint Anthony Medical Center
- Saint Anthony Medical Center
All providers in Rockford, IL · General Acute Care Hospital in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.