Individual provider Active NPI

Martin A. Urban, M.D.

  • Diagnostic Radiology Physician
  • Rockford, IL
National Provider Identifier
1912953191
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
36-070380 Issued in IL
Practice address
3871 N Perryville Rd
Rockford, IL 61114-8080
Phone
(815) 397-5554
Fax
(815) 550-0061
NPI assigned
May 26, 2006
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 36-070380 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 identifiers 1

IdentifierTypeStateIssuer
036070380MedicaidIL

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
I20070302000351 IL Practitioner - Diagnostic Radiology 3375645708 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northwestern University Feinberg Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians
Camelot Radiology Associates LTDGroup PAC ID 4880580521, 24 clinicians

Practice addresses (Care Compare)

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

1786 Moon Lake Blvd
Hoffman Est, IL 60194-5029
Phone (847) 755-8208

800 Biesterfield Rd
Elk Grove Village, IL 60007-3361

900 N 2ND St
Rochelle, IL 61068-1764
Phone (815) 562-2181

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.08 of 100Reported as group
Quality
86.25
Improvement activities
40
Cost
77.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36-070380ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncall Imaging LLC Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Innovative Health & Wellness LLC Plano Series Diagnostic Radiology CurrentSince Aug 25, 2025 Accepting new patients
Innovative Health & Wellness LLC Garland Series Diagnostic Radiology CurrentSince Jun 30, 2025 Accepting new patients
Freeport Memorial Hospital CurrentSince Mar 1, 2007 Accepting new patients
Innovative Health & Wellness LLC McKinney Series Diagnostic Radiology CurrentSince Jan 14, 2026 Accepting new patients
Bonaventure Medical Foundation, LLC CurrentSince Apr 14, 2025 Accepting new patients
Camelot Radiology Associates LTD Diagnostic Radiology CurrentSince Jan 1, 1966 Accepting new patients
Innovative Health & Wellness Mesquite Series Diagnostic Radiology CurrentSince Jan 14, 2026 Accepting new patients
Innovative Health & Wellness LLC Arlington Series Diagnostic Radiology CurrentSince Jan 14, 2026 Accepting new patients

Locations

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

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

1315 Memorial Dr
Mendota, IL 61342
Phone (815) 539-1422

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

1609 1st Ave
Rock Falls, IL 61071
Phone (815) 625-1718

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

3871 N Perryville Rd
Rockford, IL 61114

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

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1912953191",
    "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": "815-550-0061"
        },
        {
            "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": "815-550-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "MARTIN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "36-070380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036070380",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.