Active NPI
Roseann M Horan, MD
- Family Medicine Physician
- Homer Glen, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-089585
- Practice address
- 12701 W 143Rd St
Ste 230
Homer Glen, IL 60491-7715 - Phone
- (708) 301-6702
- Fax
- (708) 301-3421
- NPI assigned
- Jul 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-089585 | IL | Primary |
Addresses
Primary practice location
12701 W 143Rd St
Ste 230
Homer Glen, IL 60491-7715
Mailing address
12701 W 143Rd St
Ste 230
Homer Glen, IL 60491-7715
Phone (708) 301-6702
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1890 Silver Cross Blvd
Suite 265
New Lenox, IL 60451-9623
Phone (815) 727-4292
1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Hospital & facility affiliations
- Silver Cross Home Health
- Silver Cross Hospital and Medical Centers
- Advocate Christ Hospital & Medical Center
- Palos Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-089585 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Service Systems, Inc | Family Medicine | Current | Accepting new patients |
| Health Service Systems, Inc | Current | Accepting new patients | |
| Primary Health Associates PC | Family Medicine | Past | Accepting new patients |
Locations
12701 W 143rd St
Ste 230
Homer Glen, IL 60491
Phone (708) 226-1206
1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JGEBDA
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- New Lenox, IL
- NPI 1851323257
Family Medicine
-
- Urgent Care Clinic/Center
- Mokena, IL
- NPI 1578235800
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- Home Health Agency
- New Lenox, IL
- NPI 1265558852
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1821097882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12701 W 143RD ST",
"address_2": "STE 230",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604917715",
"telephone_number": "708-301-6702",
"fax_number": "708-301-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12701 W 143RD ST",
"address_2": "STE 230",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604917715",
"telephone_number": "708-301-6702",
"fax_number": "708-301-3421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORAN",
"first_name": "ROSEANN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-20",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-089585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homer Glen, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.