Active NPI
Sara Fleming, MD
- Anatomic Pathology & Clinical Pathology Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036096754
- Practice address
- 1401 E State St
Rockford, IL 61104-2315 - Phone
- (815) 489-4267
- Fax
- (815) 966-3967
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036096754 | IL | Primary |
Addresses
Primary practice location
1401 E State St
Rockford, IL 61104-2315
Mailing address
PO Box 15785
Loves Park, IL 61132-5785
Phone (815) 654-7772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036096754 | 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
- Pathology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4267
Hospital & facility affiliations
- Uw Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Associated Pathologists LTD | Current | Accepting new patients | |
| Freeport Memorial Hospital | Current | Accepting new patients | |
| Rockford Associated Clinical Patholog Inc | Current | Accepting new patients | |
| Swedishamerican Hospital | Past | Accepting new patients |
Locations
1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
Organizations & group practices 4
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.
-
- Clinical Pathology/Laboratory Medicine Physician
- Rockford, IL
- NPI 1174636658
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- Clinical Pathology/Laboratory Medicine Physician
- Rockford, IL
- NPI 1184867392
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1972575157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15785",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611325785",
"telephone_number": "815-654-7772",
"fax_number": "815-654-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042315",
"telephone_number": "815-489-4267",
"fax_number": "815-966-3967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "SARA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036096754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036096754",
"state": "IL"
}
],
"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 Jul 19, 2019; 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.