Active NPI
Nathan Norem, D.P.M.
- Podiatrist
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016005518
- Practice address
- 2350 N Rockton Ave
Rockford, IL 61103-3600 - Phone
- (815) 971-7400
- NPI assigned
- Jul 5, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016005518 | IL | Primary |
| Podiatrist | 213E00000X | SC006129 | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016005518 | IL |
Addresses
Primary practice location
2350 N Rockton Ave
Rockford, IL 61103-3600
Mailing address
2300 N Rockten Ave
Rockford, IL 61103-3619
Phone (815) 971-2000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130118000409 | IL | Practitioner - Podiatry | 7214197847 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rockford Health Physicians
Practice addresses (Care Compare)
2300 N Rockton Ave
Rockford, IL 61103-3619
Phone (815) 971-2000
Hospital & facility affiliations
- Javon Bea Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 119 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 134 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016005518 | IL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RMH Pathologists, LTD | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients |
Locations
Carol Stream, IL 60122
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
Interoperability endpoints
- nnorem51738@direct.mhemail.org
Organizations & group practices 2
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.
-
- Anatomic Pathology Physician
- Rockford, IL
- NPI 1184671992
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": "1246752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1801025473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 N ROCKTEN AVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611033619",
"telephone_number": "815-971-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 N ROCKTON AVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611033600",
"telephone_number": "815-971-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOREM",
"first_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-05",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016005518",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC006129",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016005518",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.