Joseph J Vicari
Internal Medicine (Gastroenterology)

Address: 401 Roxbury Rd, Rockford, IL 61107-5075
Phone: 8153977340

Joseph J Vicari (NPI# 1912993858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1912993858
Entity Type Individual
Full Name Joseph J Vicari
Credential M.D.
Gender Male
Practice Address 401 Roxbury Rd
Rockford
IL 61107-5075
Practice Telephone 8153977340
Practice Fax Number 8153972156
Mailing Address 401 Roxbury Rd
Rockford
IL 61107-5075
Mailing Telephone 8153977340
Mailing Fax Number 8153972156
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-09-26
Last Update Date 2007-09-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RG0100X Internal Medicine · Gastroenterology Allopathic & Osteopathic Physicians 36095065 IL

Physician Overview

NPI 1912993858
PAC ID by PECOS 6709861867
Professional Enrollment ID I20100714000256
Full Name Joseph J Vicari
Organization Legal Name ROCKFORD GASTROENTEROLOGY ASSOCIATES LTD
Phone Number 8153977340
Gender M
Medical School CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1990
Primary Specialty GASTROENTEROLOGY
Group Practice PAC ID 9931184082
Number of Group Practice Members 18
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140228 SWEDISH AMERICAN HOSPITAL
140233 OSF SAINT ANTHONY MEDICAL CENTER
140239 ROCKFORD MEMORIAL HOSPITAL

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
QCDR_EP_GIQIC12_1 Appropriate indication for colonoscopy 94%
QCDR_EP_GIQIC2_1 Adequacy of bowel preparation 99%
QCDR_EP_GIQIC9_1 Documentation of history and physical rate - Colonoscopy 100%

Office Location

Street Address 401 ROXBURY RD
City ROCKFORD
State IL
Zip Code 61107-5075

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205821089 Brad Alan Bowyer Internal Medicine 401 Roxbury Rd, Rockford, IL 61107-5075 2005-09-16
1063938413 Audra Danielle Washo Nurse Practitioner 401 Roxbury Rd, Rockford, IL 61107-5075 2017-08-17
1487197356 Marjorie Hotopp Nurse Practitioner 401 Roxbury Rd, Rockford, IL 61107-5075 2016-11-28
1689000424 Corrie Elizabeth Scott Nurse Practitioner 401 Roxbury Rd, Rockford, IL 61107-5075 2013-09-25
1912330895 Stacia Langan Sackmaster Nurse Practitioner 401 Roxbury Rd, Rockford, IL 61107-5075 2013-08-15
1538406053 Jennifer A Ward Nurse Practitioner 401 Roxbury Rd, Rockford, IL 61107-5075 2013-01-04
1730426230 Janelle D Defilippis Nurse Practitioner 401 Roxbury Rd, Rockford, IL 61107-5075 2013-01-04
1417209768 Brenda L Garrett Nurse Practitioner 401 Roxbury Rd, Rockford, IL 61107-5075 2012-10-11
1710140041 George Chahine Tannous Internal Medicine 401 Roxbury Rd, Rockford, IL 61107-5075 2008-07-07
1154597284 Sumeet K. Tewani Internal Medicine 401 Roxbury Rd, Rockford, IL 61107-5075 2008-05-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265962336 Mary Golembeck Nurse Practitioner 7290 Argus Dr, Rockford, IL 61107 2017-06-12
1699216564 Swedishamerican Hospital Nutritionist 200 Y Blvd, Rockford, IL 61107 2017-03-13
1831644749 Tessa Lee Occupational Therapist 3422 Lauderdale Ln, Rockford, IL 61107 2016-08-20
1184018848 Usv Optical Inc. Technician/Technologist 2013 Mcfarland Rd, Rockford, IL 61107 2015-03-20
1942626965 Elevated Health Essentials, LLC Chiropractor 124 N Water St Ste 204e, Rockford, IL 61107 2014-03-14
1093139909 Swedishamerican Hospital Surgery 1639 N Alpine Rd Ste 400, Rockford, IL 61107 2014-02-12
1346676582 Christopher Anthony Ziganto Pharmacist 494 Bienterra Trail #2, Rockford, IL 61107 2013-09-19
1023358272 Lavanya Durairajan Physical Therapist 7358 Shiligton Dr, Rockford, IL 61107 2013-02-26
1851523146 Great Smiles of Rockford Durable Medical Equipment & Medical Supplies 780 N. Mulfrord Road, Rockford, IL 61107 2009-08-20
1962643072 My Massage Sanctuary, Inc Clinic/Center 101 North Alpine Road, Rockford, IL 61107 2009-03-19
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205821089 Brad Alan Bowyer Internal Medicine 401 Roxbury Rd, Rockford, IL 61107-5075 2005-09-16
1710140041 George Chahine Tannous Internal Medicine 401 Roxbury Rd, Rockford, IL 61107-5075 2008-07-07
1588834519 Ilche Teodore Nonevski Internal Medicine 401 Roxbury Rd, Rockford, IL 61107-5075 2008-03-05
1699809806 Sunil Shashikant Patel Internal Medicine 401 Roxbury Rd, Rockford, IL 61107-5075 2007-03-16
1710097902 Milton G. Schmitt Internal Medicine 2300 N Rockton Ave, Rockford, IL 61103-3619 2006-08-30
1598875783 Richard B. Gilmore Internal Medicine 2300 N Rockton Ave, Rockford, IL 61103-3619 2006-08-30
1093732331 Peter M. Oshin Internal Medicine 2300 N Rockton Ave, Rockford, IL 61103-3619 2006-07-16
1669413522 Clinton T Snedegar Internal Medicine 401 Roxbury Rd, Rockford, IL 61107-5075 2006-06-09
1699751446 Kevin J Peifer Internal Medicine 401 Roxbury Rd, Rockford, IL 61107-5075 2005-12-22
1295722569 James T Frakes Internal Medicine 401 Roxbury Rd, Rockford, IL 61107-5075 2005-10-03
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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