Active NPI
Martin A. Urban, M.D.
- Diagnostic Radiology Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 36-070380
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036070380 | Medicaid | IL |
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
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
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
- FHN Memorial Hospital
- Rochelle Community Hospital
- Alexian Brothers Medical Center 1
- Javon Bea Hospital
- St Alexius Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.08 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 36-070380 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oncall Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Innovative Health & Wellness LLC Plano Series | Diagnostic Radiology | Current | Accepting new patients |
| Innovative Health & Wellness LLC Garland Series | Diagnostic Radiology | Current | Accepting new patients |
| Freeport Memorial Hospital | Current | Accepting new patients | |
| Innovative Health & Wellness LLC McKinney Series | Diagnostic Radiology | Current | Accepting new patients |
| Bonaventure Medical Foundation, LLC | Current | Accepting new patients | |
| Camelot Radiology Associates LTD | Diagnostic Radiology | Current | Accepting new patients |
| Innovative Health & Wellness Mesquite Series | Diagnostic Radiology | Current | Accepting new patients |
| Innovative Health & Wellness LLC Arlington Series | Diagnostic Radiology | Current | 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.
-
dba Alexian Brothers Medical Foundation
- Family Medicine Physician
- Elk Grove Village, IL
- NPI 1588775647
-
dba Northern Illinois Radiologists
- Diagnostic Radiology Physician
- Freeport, IL
- NPI 1841244753
-
dba FHN-Memorial Hospital
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- Vascular Specialist/Technologist Cardiovascular
- Rockford, IL
- NPI 1619368834
-
- Interventional Cardiology Physician
- Rockford, IL
- NPI 1245616929
-
- Diagnostic Radiology Physician
- Arlington, TX
- NPI 1891657441
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Garland, TX
- NPI 1396538997
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- McKinney, TX
- NPI 1518829167
-
- Radiology Clinic/Center
- Plano, TX
- NPI 1376433607
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Mesquite, TX
- NPI 1871455436
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elk Grove Village, IL
- NPI 1265577191
-
dba FHN-Memorial Hospital
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
-
- Critical Access Hospital
- Rochelle, IL
- NPI 1821053216
-
- General Acute Care Hospital
- Hoffman Estates, IL
- NPI 1376644385
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
- Universal Sleep and Attention Center LLC
- Universal Sleep and Attention Center LLC
- University of Wisconsin Medical Foundation (Retina Consultants, UWMF)
- University of Wisconsin Medical Foundation
- Sahil Uppal, MD
- Jacob Urbelis
- Richard Keith Usedom, DDS
- Amanda N Utley, DNP FNP
- Molly Utzig, COTA
- Cynthia Uwase, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.