Organization Active NPI

Rogers Medical, LTD

  • Family Medicine Physician
  • Plainfield, IL
National Provider Identifier
1992992820
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036103443 Issued in IL
Legal business name
ROGERS MEDICAL, LTD
Practice address
24012 W Renwick Rd
14 & 15
Plainfield, IL 60544-8731
Phone
(815) 436-9393
Fax
(815) 436-9393
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Dr. Teresa Pecherek Rogers, M.D.NPI 1114039831
Title
President
Phone
(815) 436-9393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036103443 IL Primary

Addresses

Primary practice location

24012 W Renwick Rd
14 & 15
Plainfield, IL 60544-8731

Mailing address

24012 W Renwick Rd
14 & 15
Plainfield, IL 60544-8731
Phone (815) 436-9393

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080109000407 IL Part B Supplier - Clinic/Group Practice 7214017748 Receives reassigned benefits from 3 practitioners
Practice locations: Plainfield, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1075521Rogers Medical LTD24012 W Renwick Road, Plainfield, IL 60544Certificate of waiverOct 22, 2027

National Provider Directory

National Provider Directory

Locations

23909 W Renwick Rd
Ste 113
Plainfield, IL 60544
Phone (815) 436-1400

24012 W Renwick Rd
#14
Plainfield, IL 60544
Phone (815) 436-9393

24012 W Renwick Rd
Ste 14
Plainfield, IL 60544
Phone (815) 436-9393

24012 W Renwick Rd
Unit 14
Plainfield, IL 60544
Phone (815) 436-9393

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1992992820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24012 W RENWICK RD",
            "address_2": "14 & 15",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605448731",
            "telephone_number": "815-436-9393",
            "fax_number": "815-436-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 W RENWICK RD",
            "address_2": "14 & 15",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605448731",
            "telephone_number": "815-436-9393",
            "fax_number": "815-436-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS MEDICAL, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "PECHEREK ROGERS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-436-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036103443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.