Active NPI
Hunter Joseph Promer, DO
- Diagnostic Radiology Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A23597
- Practice address
- 8201 E Riverside Blvd
Rockford, IL 61114-2300 - Phone
- (815) 971-7000
- NPI assigned
- Mar 30, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A23597 | CA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 036.164137 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
8201 E Riverside Blvd
Rockford, IL 61114-2300
Mailing address
File 57326
Los Angeles, CA 90074-0001
Other practice location 1
901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431
Other practice location 2
836 W Wellington Ave
Chicago, IL 60657-5147
Phone (773) 975-1600
Other practice location 3
330 Lewis St
San Diego, CA 92103-2108
Phone (800) 926-8273
Other practice location 4
875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500
Other practice location 5
6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (800) 926-8273
Other practice location 6
4250 1st Ave
San Diego, CA 92103
Phone (800) 926-8273
Other practice location 7
9400 Campus Point Dr
LA Jolla, CA 92093-1350
Phone (800) 926-8273
Other practice location 8
9300 Campus Point Dr
LA Jolla, CA 92037-1300
Phone (800) 926-8273
Other practice location 9
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 Ross Ave
El Centro, CA 92243-4306
Phone (800) 926-8273
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 657-7000
447 N El Camino Real
Encinitas, CA 92024-1302
Phone (858) 657-7000
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000
875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500
9300 Campus Point Dr
La Jolla, CA 92037-1300
Phone (800) 926-8273
9350 Campus Point Dr
La Jolla, CA 92037-1300
Phone (800) 926-8273
9434 Medical Ctr Dr
La Jolla, CA 92037-1337
Phone (800) 926-8273
9452 Medical Ctr Dr
La Jolla, CA 92037-1337
Phone (800) 926-8273
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23597 | CA | MD | Dental Hygienist |
| A23597 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current | Accepting new patients | |
| Regents of the University of California | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients |
Locations
9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000
9400 Campus Point Dr
La Jolla, CA 92093
Phone (858) 249-3800
File 57326
Los Angeles, CA 90074
6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130
4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
330 Lewis St
San Diego, CA 92103
Phone (619) 471-9235
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
901 Grant St
Harvard, IL 60033
Phone (815) 943-5431
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
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.
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
IL
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
-
dba Mercy Harvard Care Center
- Skilled Nursing Facility
- Harvard, IL
- NPI 1124195557
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
-
- General Acute Care Hospital
- El Centro, CA
- NPI 1861409823
-
dba UCSD Medical Center
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1912535568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 57326",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900740001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 E RIVERSIDE BLVD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611142300",
"telephone_number": "815-971-7000"
}
],
"practiceLocations": [
{
"address_1": "901 Grant St",
"address_purpose": "LOCATION",
"city": "Harvard",
"state": "IL",
"postal_code": "600331821",
"country_code": "US",
"telephone_number": "815-943-5431",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "836 W Wellington Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606575147",
"country_code": "US",
"telephone_number": "773-975-1600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "330 Lewis St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921032108",
"country_code": "US",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "875 S Route 31",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "600148190",
"country_code": "US",
"telephone_number": "779-220-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6655 Alvarado Rd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921205208",
"country_code": "US",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4250 1st Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "92103",
"country_code": "US",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9400 Campus Point Dr",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920931350",
"country_code": "US",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9300 Campus Point Dr",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920371300",
"country_code": "US",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 W Arbor Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921039000",
"country_code": "US",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROMER",
"first_name": "HUNTER",
"middle_name": "JOSEPH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-30",
"last_updated": "2025-08-07",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A23597",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036.164137",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 7, 2025; 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.