DR. BRIAN S ROSBOROUGH (MD) – Family Medicine Physician, NPI 1881643948

DR. BRIAN S ROSBOROUGH (MD) is a healthcare provider. based in Ottawa, Illinois. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 036-074039 (IL). The NPI Number for DR. BRIAN S ROSBOROUGH (MD) is 1881643948

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN S ROSBOROUGH (MD)
NPI
1881643948
Phone
(815) 433-1010
Address
1614 E NORRIS DR
Enumeration Date
8 May 2006
Last Update Date
10 September 2012

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8154331010
Graduation Year
1985 (41 years ago)
PAC ID
2466424791
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20100317000353
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. BRIAN S ROSBOROUGH (MD)

  • 1614, East Norris Drive, Ottawa, LaSalle County, Illinois, 61350, United States

    OTTAWA, IL 613503681

    Phone: (815) 433-1010

    Fax: (815) 433-0067

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20100317000353IFamily PracticeILTBD

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 61350)

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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: 3678889789View full group profile

Reviews

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Frequently asked questions

Is DR. BRIAN S ROSBOROUGH (MD) listed with a National Provider Identifier?
Yes — DR. BRIAN S ROSBOROUGH (MD) has NPI 1881643948 on file in the registry.
Is DR. BRIAN S ROSBOROUGH (MD) shown as active in public data?
Registry records indicate DR. BRIAN S ROSBOROUGH (MD) maintains an active NPI.
What area of care is associated with DR. BRIAN S ROSBOROUGH (MD)?
DR. BRIAN S ROSBOROUGH (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. BRIAN S ROSBOROUGH (MD) registered?
Use Ottawa, Illinois as the headline location for DR. BRIAN S ROSBOROUGH (MD) here.
Can I trust this NPI listing for DR. BRIAN S ROSBOROUGH (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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