Rockford Emergency Physicians, LLC
NPI 1639876634ActiveOrganization· Emergency Medicine· Rockford, IL
Emergency Medicine in Rockford, Illinois, registered in NPPES in February 2023. The authorized official on file is Kim Larsen, Director Of Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639876634 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 9, 2023 |
| Last updated in NPPES | Aug 14, 2026 |
| Certified by provider | Aug 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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