ROCKFORD RADIOLOGY ASSOC – Diagnostic Radiology Physician, NPI 1740247535
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ROCKFORD RADIOLOGY ASSOC
PO BOX 809025
CHICAGO, IL 606809025
Phone: (866) 421-8808
Fax: (855) 344-3003
Type: Mailing
403 E 1st St
Dixon, IL 610213116
Phone: (815) 285-5972
Type: Location
5666, East State Street, Rockford, Winnebago County, Illinois, 61108, United States
ROCKFORD, IL 61108
Phone: (815) 327-2468
Type: Location
Brookfield Post Office, 417-419, Watling Street Road, Longsands, Ribbleton, Preston, Lancashire, England, PR2 6TY, United Kingdom
BROOKFIELD, WI 530081790
Phone: (815) 327-2468
Fax: (866) 769-8052
Type: Mailing
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: 2025-12-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-06-30 (21 days away).
Enrollment records
24
Earliest due date
2026-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20061211000401 | O | Clinic/Group Practice | IL | 2026-06-30 |
| O20211022001895 | O | Clinic/Group Practice | CA | 2026-10-31 |
| O20211025002339 | O | Clinic/Group Practice | MD | TBD |
| O20211026000013 | O | Clinic/Group Practice | PA | TBD |
| O20211026000030 | O | Clinic/Group Practice | NJ | TBD |
| O20211026000088 | O | Clinic/Group Practice | DC | TBD |
| O20211026001954 | O | Clinic/Group Practice | CO | TBD |
| O20211026002135 | O | Clinic/Group Practice | MA | TBD |
| O20211026003312 | O | Clinic/Group Practice | TX | TBD |
| O20211029000599 | O | Clinic/Group Practice | VA | TBD |
| O20211123000898 | O | Clinic/Group Practice | FL | TBD |
| O20211123003109 | O | Clinic/Group Practice | HI | TBD |
| O20211203001086 | O | Clinic/Group Practice | AZ | TBD |
| O20211203001218 | O | Clinic/Group Practice | WA | TBD |
| O20211203002292 | O | Clinic/Group Practice | MN | TBD |
| O20221110000597 | O | Clinic/Group Practice | VT | TBD |
| O20221214001133 | O | Clinic/Group Practice | WI | TBD |
| O20230208003064 | O | Clinic/Group Practice | KY | TBD |
| O20240101000018 | O | Clinic/Group Practice | NV | TBD |
| O20240507002617 | O | Clinic/Group Practice | NY | TBD |
| O20251027000447 | O | Clinic/Group Practice | MI | TBD |
| O20251108000713 | O | Clinic/Group Practice | OK | TBD |
| O20251203004321 | O | Clinic/Group Practice | DE | TBD |
| O20251209002396 | O | Clinic/Group Practice | NE | TBD |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
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 60680)
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