DR. FRED B ROSENBERG (M.D.) – Gastroenterology Physician, NPI 1003817180

DR. FRED B ROSENBERG (M.D.) is a healthcare provider. based in Gurnee, Illinois. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 36-049355 (IL). The NPI Number for DR. FRED B ROSENBERG (M.D.) is 1003817180

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
DR. FRED B ROSENBERG (M.D.)
NPI
1003817180
Phone
(847) 244-2960
Address
20 TOWER CT
Enumeration Date
10 August 2005
Last Update Date
28 December 2021

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7178694600
Graduation Year
1973 (53 years ago)
PAC ID
9931167897
Group Practice PAC ID
4688575434
Professional Enrollment ID
I20230808000895
Address ID
PA176012644LA2112XPIKE306

Contacts

Secure Messaging
GIAMidwest-LSG@directaddress.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

978 GASTROENTEROLOGY in IL

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Provider Addresses for DR. FRED B ROSENBERG (M.D.)

  • 20, Tower Court, Gurnee, Lake, Illinois, 60031, United States

    SUITE C

    GURNEE, IL 600315711

    Phone: (847) 244-2960

    Fax: (847) 244-2986

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: ABBVIE INC. ($56).

Total Amount

$56

General + Research + Ownership

Payments

3

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$56
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100123000170IGastroenterologyILTBD
I20230808000895IGastroenterologyPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60031)

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Provider's Procedures

DR. FRED B ROSENBERG (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYIL43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope1311
GASTROENTEROLOGYIL45378Diagnostic examination of large bowel using an endoscope1717
GASTROENTEROLOGYIL45385Removal of polyps or growths of large bowel using an endoscope5655

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688575434View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YPA
G A S T R O E N T E R O L O G YPA
G A S T R O E N T E R O L O G YPA
G A S T R O E N T E R O L O G YPA
-PA
Physician AssistantMD
G A S T R O E N T E R O L O G YPA
G A S T R O E N T E R O L O G YPA
Physician AssistantPA
Physician AssistantPA

Reviews

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Frequently asked questions

Where can patients find DR. FRED B ROSENBERG (M.D.)'s NPI?
You can confirm DR. FRED B ROSENBERG (M.D.) with NPI 1003817180; it appears in the national provider directory.
Is DR. FRED B ROSENBERG (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. FRED B ROSENBERG (M.D.) list a primary specialty?
If you are matching referrals, note Gastroenterology Physician for DR. FRED B ROSENBERG (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. FRED B ROSENBERG (M.D.)?
The page summarizes Gurnee, Illinois for DR. FRED B ROSENBERG (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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