Individual provider Active NPI

Joe O'Saben, DO

  • Pain Medicine Physician
  • Rockford, IL
National Provider Identifier
1821026147
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
036.118972 Issued in IL
Practice address
6451 E Riverside Blvd
Suite 103
Rockford, IL 61114-4421
Phone
(815) 639-9900
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 036.118972 IL
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 036.118972 IL
Pain Medicine Physician 208VP0000X 036.118972 IL Primary

Addresses

Primary practice location

6451 E Riverside Blvd
Suite 103
Rockford, IL 61114-4421

Mailing address

6451 E Riverside Blvd
Suite 103
Rockford, IL 61114-4421
Phone (815) 639-9900

Other identifiers 1

IdentifierTypeStateIssuer
210693OtherILMEDICARE GROUP #

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
I20070920000151 IL Practitioner - Pain ManagementPractitioner - Emergency MedicinePractitioner - Interventional Pain ManagementPractitioner - Physical Medicine and RehabilitationPractitioner - Osteopathic Manipulative MedicinePractitioner - Sports MedicinePractitioner - General Practice 9032126800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Emergency Medicine, General Practice, Interventional Pain Management, Osteopathic Manipulative Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cevene Care Clinic IncGroup PAC ID 0446208458, 4 clinicians

Practice addresses (Care Compare)

6451 E Riverside Blvd
Suite 103
Rockford, IL 61114-4402
Phone (815) 639-9900

6451 E Riverside Blvd
Suite 103
Rockford, IL 61114-4421

Merit-based Incentive Payment System (MIPS)

Final score
85.1 of 100Reported as group
Quality
95
Promoting interoperability
82
Improvement activities
40
Cost
70.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.118972ILMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McHenry Medical Center SC CurrentSince Nov 6, 2012 Accepting new patients
Superiorhealth & Wellness of McHenry LTD Past Accepting new patients
Vpa PC General Practice Past Accepting new patients
Vpa PC General Practice Past Accepting new patients

Locations

202 S State Route 31
Frnt St
McHenry, IL 60050
Phone (815) 344-1192

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1821026147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 E RIVERSIDE BLVD",
            "address_2": "SUITE 103",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144421",
            "telephone_number": "815-639-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 E RIVERSIDE BLVD",
            "address_2": "SUITE 103",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144421",
            "telephone_number": "815-639-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SABEN",
        "first_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036.118972",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "IL",
            "license": "036.118972",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "036.118972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "210693",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.