Individual provider Active NPI

Roxanne Bautista-Szorc, MD

  • Family Medicine Physician
  • Decatur, IL
National Provider Identifier
1881211605
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036164529 Issued in IL
Practice address
441 W Hay St
Decatur, IL 62526-6324
Phone
(217) 876-4810
Fax
(217) 527-3412
NPI assigned
Jun 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036164529 IL Primary

Addresses

Primary practice location

441 W Hay St
Decatur, IL 62526-6324

Mailing address

441 W Hay St
Decatur, IL 62526-6324
Phone (217) 876-4810

Other names 1

  • Roxanne Bautista Other name

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
I20230815003601 IL Practitioner - Family Practice 9830512664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians

Practice addresses (Care Compare)

441 W Hay St
Suite 101
Decatur, IL 62526-6324
Phone (217) 876-8390

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.88 of 100Reported as group
Quality
63.91
Improvement activities
40
Cost
77.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.076735ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Memorial Hospital Family Medicine CurrentSince Jul 2, 2023 Accepting new patients
Decatur Memorial Hospital CurrentSince Jul 2, 2023 Accepting new patients
Springfield Clinic LLP Current Accepting new patients

Locations

441 W Hay St
Decatur, IL 62526
Phone (217) 876-6866

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

441 W Hay St
Ste 101
Decatur, IL 62526
Phone (217) 876-8390

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100

Interoperability endpoints

  • Direct secure messaging: roxannebautista@sfc.allscriptsdirect.net

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.

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": "1593216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1881211605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 W HAY ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266324",
            "telephone_number": "217-876-4810",
            "fax_number": "217-527-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 W HAY ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266324",
            "telephone_number": "217-876-4810",
            "fax_number": "217-527-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA-SZORC",
        "first_name": "ROXANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-27",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036164529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "BAUTISTA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.