NPIMap

Organization Active NPI

Hopedale Medical Foundation

  • Emergency Medical Services (Emergency Medicine) Physician
  • Hopedale, IL
National Provider Identifier
1801033071
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
HOPEDALE MEDICAL FOUNDATION
Practice address
107 Tremont St
Hopedale, IL 61747-7525
Phone
(309) 449-3321
NPI assigned
Jan 9, 2009
Last updated
Feb 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Dr. Alfred Nello Rossi, M.D.NPI 1033157292
Title
Ceo
Phone
(309) 449-4338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X NU Primary

Addresses

Primary practice location

107 Tremont St
Hopedale, IL 61747-7525

Mailing address

107 Tremont St
Hopedale, IL 61747-7525
Phone (309) 449-3321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050525001258 IL Part B Supplier - Clinic/Group Practice 1153363577 Receives reassigned benefits from 25 practitioners
Practice locations: Hopedale, IL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1801033071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TREMONT ST",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617477525",
            "telephone_number": "309-449-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TREMONT ST",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617477525",
            "telephone_number": "309-449-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEDALE MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "NELLO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-449-4338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopedale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.