NPIMap

Organization Active NPI

Genesis Medical Center, Aledo

Doing business as Genesis Health Group, Aledo

  • Podiatrist
  • Aledo, IL
National Provider Identifier
1972856854
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
GENESIS MEDICAL CENTER, ALEDO
Doing business as
Genesis Health Group, Aledo
Genesis Health Group, Sepcialty Clinic, Aledo
MercyOne Genesis Health Group Aledo
Practice address
1007 NW 3Rd St Ste 100
Aledo, IL 61231-1317
Phone
(309) 582-9440
NPI assigned
Oct 17, 2012
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
GENESIS HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Edward Rogalski
Title
Administrator
Phone
(309) 582-9250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary

Addresses

Primary practice location

1007 NW 3Rd St Ste 100
Aledo, IL 61231-1317

Mailing address

PO Box 672128
Dallas, TX 75267-2128
Phone (309) 582-9440

Other names 3

  • Genesis Health Group, Aledo Doing business as
  • Genesis Health Group, Sepcialty Clinic, Aledo Doing business as
  • MercyOne Genesis Health Group Aledo Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130405000438 IL Part B Supplier - Clinic/Group Practice 7315190436 Receives reassigned benefits from 41 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aledo, IL; Woodhull, IL

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Genesis Medical Center Aled4 organizations share this tax ID, including this one
Part of
Genesis Health System

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1007 NW 3rd St
Ste 100
Aledo, IL 61231
Phone (309) 582-9440

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1972856854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672128",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752672128",
            "telephone_number": "309-582-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 NW 3RD ST STE 100",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612311317",
            "telephone_number": "309-582-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL CENTER, ALEDO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS HEALTH SYSTEM",
        "enumeration_date": "2012-10-17",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "ROGALSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "309-582-9250"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Health Group, Aledo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Genesis Health Group, Sepcialty Clinic, Aledo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Genesis Health Group Aledo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aledo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.