Joanna M Niemiec, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036110673 Issued in IL

Practice address

612 Roxbury Road
Rockford, IL 61107-5089

Phone

(815) 227-8300

Fax

(815) 227-8301

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI, IL2 enrollments

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 2

Specialty

Nephrology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rna of Rockford, PLLCGroup PAC ID 3870662398, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CCN 522324 Dialysis facility, CCN 522324
• DaVita Stonecrest Dialysis Dialysis facility, Rockford, IL, CCN 142615
• Renviva, LLC Dialysis facility, Rockford, IL, CCN 142803
• Beloit Health System Hospital, Beloit, WI, CCN 520100
• Saint Anthony Medical Center Hospital, Rockford, IL, CCN 140233
• Javon Bea Hospital Hospital, Rockford, IL, CCN 140239
• Uw Health Hospital, Rockford, IL, CCN 140228
• Rochelle Community Hospital Hospital, Rochelle, IL, CCN 141312

Merit-based Incentive Payment System (MIPS)

Final score

94.99 of 100Reported as group

Quality

83.04

Promoting interoperability

100

Improvement activities

40

Cost

77.67

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joanna.niemiec.1@19234.direct.athenahealth.com

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.

• Rna of Rockford, PLLC

  • Nephrology Physician
  • Rockford, IL
  • NPI 1336326388

  WI

  Medicare reassignment Care Compare group NPD
• Northern Illinois Nephrology, S.C

  • Nephrology Physician
  • Rockford, IL
  • NPI 1295753176
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Renviva LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockford, IL
  • NPI 1962873919

  Dialysis facility

  Care Compare affiliation Name & address match
• Total Renal Care Inc

  dba Stonecrest Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockford, IL
  • NPI 1518276955

  Dialysis facility

  Care Compare affiliation Name & address match
• Javon Bea Hospital

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1629118609
  Care Compare affiliation
• Rochelle Community Hospital Association

  • Critical Access Hospital
  • Rochelle, IL
  • NPI 1821053216
  Care Compare affiliation
• Saint Anthony Medical Center

  dba OSF Saint Anthony Medical Center

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1790739977
  Care Compare affiliation
• Swedishamerican Hospital

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1760542732
  Care Compare affiliation
• Beloit Health System Inc

  dba Beloit Memorial Hospital

  • General Acute Care Hospital
  • Beloit, WI
  • NPI 1982780094
  Care Compare affiliation

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1821016791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 ROXBURY ROAD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075089",
            "telephone_number": "815-227-8300",
            "fax_number": "815-227-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 ROXBURY ROAD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075089",
            "telephone_number": "815-227-8300",
            "fax_number": "815-227-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMIEC",
        "first_name": "JOANNA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036110673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110673",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34766600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Raymond Niedzielak, DO
• Anna Nielsen
• Christopher M. Nielsen, M.D.
• David A Nielsen, O.D.
• John M Nielsen, DPM
• Sandra S Nienaber
• Vanessa Nienhouse, M.D.
• Kathleen M Niesen Zucchi, LCSW
• Jose L Nieves, OPTICAL
• Kumud Nigam, M.D.

• Nephrology Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.

Verify at the official NPI Registry.