Roland A Tolliver Jr., D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016003850 Issued in IL

Practice address

Freeport Podiatry Services, LLC
1201 West Empire Street
Freeport, IL 61032-6106

Phone

(815) 232-8015

Fax

(815) 235-1376

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

83.84 of 100Reported as group

Quality

75.22

Promoting interoperability

92

Improvement activities

40

Cost

73.11

Medicare enrollment (NPD)

Enrolled

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.

• Freeport Regional Health Care Foundation

  dba FHN

  • Family Medicine Physician
  • Freeport, IL
  • NPI 1457337016
  Medicare reassignment

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1992891410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FREEPORT PODIATRY SERVICES, LLC",
            "address_2": "1201 WEST EMPIRE STREET",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326106",
            "telephone_number": "815-232-8015",
            "fax_number": "815-235-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FREEPORT PODIATRY SERVICES, LLC",
            "address_2": "1201 WEST EMPIRE STREET",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326106",
            "telephone_number": "815-232-8015",
            "fax_number": "815-235-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLIVER",
        "first_name": "ROLAND",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016003850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0060201289",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003850",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thrive Healthcare Clinic LLC
• Johanne Thruman
• Trista Lynn Timpe
• Casandra Rae Tipton
• Sarah A Todds, R.D.
• Jessica Tomita
• Cassandra Lynn Torrisi
• Tri-State Home Healthcare, LLC (Tri-State Home HealthCare)
• Lisa Jeanne Trisler
• Tiffany A Truckenmiller, PT

• Foot & Ankle Surgery Podiatrist in Freeport, IL
• Providers in Freeport, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.

Verify at the official NPI Registry.