Active NPI
Joel M. Manaligod, M.D.
- Pediatric Critical Care Medicine Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- MD-12554
- Practice address
- 2400 N Rockton Ave
Rockford, IL 61103-3655 - Phone
- (815) 971-5000
- NPI assigned
- Nov 21, 2006
- Last updated
- Dec 7, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD-12554 | HI | Primary |
Addresses
Primary practice location
2400 N Rockton Ave
Rockford, IL 61103-3655
Mailing address
2400 N Rockton Ave
Rockford, IL 61103-3655
Phone (815) 971-5000
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-12554 | HI | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current | Accepting new patients | |
| Carle Health Medical Group | Current | Accepting new patients | |
| RMH Pathologists, LTD | Current | Accepting new patients | |
| Bonaventure Medical Foundation, LLC | Current | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
190 W Irving Park Rd
Wood Dale, IL 60191
Phone (630) 766-0412
Interoperability endpoints
- jmanaligodmd250840@carlehiedirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Alexian Brothers Medical Foundation
- Family Medicine Physician
- Elk Grove Village, IL
- NPI 1588775647
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Anatomic Pathology Physician
- Rockford, IL
- NPI 1184671992
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1114240876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1881769214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 N ROCKTON AVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611033655",
"telephone_number": "815-971-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 N ROCKTON AVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611033655",
"telephone_number": "815-971-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANALIGOD",
"first_name": "JOEL",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "HI",
"license": "MD-12554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.