Individual provider Active NPI

Robert Hamilton Pierce, MD

  • Diagnostic Radiology Physician
  • Rockford, IL
National Provider Identifier
1891749701
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
36-039981 Issued in IL
Practice address
3871 N Perryville Rd
Rockford, IL 61114-8080
Phone
(815) 397-5554
Fax
(866) 914-7594
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 77972-20 WI
Diagnostic Radiology Physician 2085R0202X 36-039981 IL Primary

Addresses

Primary practice location

3871 N Perryville Rd
Rockford, IL 61114-8080

Mailing address

3871 N Perryville Rd
Rockford, IL 61114-8080
Phone (815) 397-5554

Other practice location 1

11134 N State Road 77
Hayward, WI 54843-5325
Phone (715) 634-5505

Other practice location 2

1615 Maple Ln Ste 1
Ashland, WI 54806-3630
Phone (715) 685-7500

Other identifiers 1

IdentifierTypeStateIssuer
036039981MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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

Enrollment IDStateProvider typePAC IDDetails
I20070228000576 IL Practitioner - Diagnostic Radiology 9537261128 Reassigns benefits to 4 organizations
I20230817003570 WI Practitioner - Diagnostic Radiology 9537261128

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Chicago, Pritzker School of Medicine, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

701 Biesterfield Rd
Elk Grove Village, IL 60007-3309

Hospital & facility affiliations

  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36-039981ILMDDiagnostic Radiology Physician
77972-20WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince May 1, 2016 Accepting new patients
Camelot Radiology Associates LTD Diagnostic Radiology CurrentSince Jan 1, 1966 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Jul 27, 2022 Accepting new patients
Freeport Memorial Hospital CurrentSince Mar 1, 2007 Accepting new patients
Camelot Imaging Solutions, LTD Past Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

1001 Grant St
Harvard, IL 60033
Phone (815) 943-8090

1315 Memorial Dr
Mendota, IL 61342
Phone (815) 539-7461

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

3871 N Perryville Rd
Rockford, IL 61114

3849 N Perryville Rd
Rockford, IL 61114
Phone (815) 654-2486

2670 DeKalb Ave
Sycamore, IL 60178
Phone (815) 561-2774

2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Organizations & group practices 6

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1891749701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 N PERRYVILLE RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148080",
            "telephone_number": "815-397-5554",
            "fax_number": "866-914-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 N PERRYVILLE RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148080",
            "telephone_number": "815-397-5554",
            "fax_number": "866-914-7594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11134 N State Road 77",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "WI",
            "postal_code": "548435325",
            "country_code": "US",
            "telephone_number": "715-634-5505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Maple Ln Ste 1",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "WI",
            "postal_code": "548063630",
            "country_code": "US",
            "telephone_number": "715-685-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "ROBERT",
        "middle_name": "HAMILTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "77972-20",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "36-039981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036039981",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.