Individual provider Active NPI

Charlene D Murdakes, MD

  • Nephrology Physician
  • Rockford, IL
National Provider Identifier
1992961593
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036127989 Issued in IL
Practice address
612 Roxbury Rd
Rockford, IL 61107-5089
Phone
(815) 227-8300
Fax
(815) 227-8301
NPI assigned
Aug 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036127989 IL Primary

Addresses

Primary practice location

612 Roxbury Rd
Rockford, IL 61107-5089

Mailing address

PO Box 957
Rockford, IL 61105-0957
Phone (815) 227-8300

Other identifiers 2

IdentifierTypeStateIssuer
P01248998OtherRAILROAD MEDICARE
036127989MedicaidIL

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
I20131007001505 IL Practitioner - NephrologyPractitioner - Internal Medicine 2769616705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Rush Medical College of Rush University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rna of Rockford, PLLCGroup PAC ID 3870662398, 18 clinicians

Practice addresses (Care Compare)

612 Roxbury Rd
Rockford, IL 61107-5089
Phone (815) 227-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.35 of 100Reported as individual
Quality
79.03
Promoting interoperability
100
Improvement activities
40
Cost
81.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rna of Rockford, PLLC Nephrology CurrentSince Sep 1, 2013 Accepting new patients

Locations

215 E 1st St
Ste 153
Dixon, IL 61021
Phone (815) 285-5484

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

612 Roxbury Rd
Rockford, IL 61107
Phone (815) 227-8300

2600 Locust St
Ste D
Sterling, IL 61081
Phone (815) 626-3173

2200 Gateway Dr
Sycamore, IL 60178
Phone (815) 758-0205

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

Interoperability endpoints

  • Direct secure messaging: charlene.murdakes.1@19234.direct.athenahealth.com
  • Direct secure messaging: cmurdakes19677@cghmc.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1992961593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611050957",
            "telephone_number": "815-227-8300",
            "fax_number": "815-227-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 ROXBURY RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075089",
            "telephone_number": "815-227-8300",
            "fax_number": "815-227-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDAKES",
        "first_name": "CHARLENE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-03",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036127989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01248998",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036127989",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.