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DR. ROSVIDA ANNE B. SAN GABRIEL M.D.
NPI 1023166535
Pediatrics in Streator, IL

Active since January 08, 2007PECOS Enrolled
104 W 6TH ST, SUITE 303, STREATOR, IL 61364(815) 673-2353(815) 673-2486 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rosvida Anne B. San Gabriel M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROSVIDA ANNE B. SAN GABRIEL M.D. (NPI 1023166535) is an individual pediatrics provider in Streator, Illinois, licensed in Illinois (036091951) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023166535
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ROSVIDA ANNE B. SAN GABRIELCredential: M.D.
Location Address104 W 6TH ST, SUITE 303Streator, IL 61364-2899
Mailing Address104 W 6th St, Suite 303Streator, IL 61364-2899 · (815) 673-2353 · Fax (815) 673-2486
Phone(815) 673-2353
Fax(815) 673-2486
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateDecember 30, 2014
✔ NPI 1023166535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036091951
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

104 W 6TH ST, Streator, IL 61364
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Other Identifiers 2

Medicaid036091951IL
Medicare UPING92408IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rosvida Anne B. San Gabriel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61364 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHIN JOH M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
104 W 6TH ST
STREATOR, IL 61364
Lasalle County (815) 673-5533
BRUCE SYLVESTER SMITH M.D.
Obstetrics & Gynecology
104 W 6TH ST, STE 206
STREATOR, IL 61364
Lasalle County (815) 672-1610
PEAK ORTHOPAEDIC & SPORTS CARESC
Orthopaedic Surgery
104 W 6TH ST
STREATOR, IL 61364
Lasalle County (815) 673-3223
ST MARYS HOSPITAL
Orthopaedic Surgery
104 W 6TH ST
STREATOR, IL 61364
Lasalle County (815) 673-3223
DR. CHAO-MING CHEN M.C.
Obstetrics & Gynecology
104 W 6TH ST, SUITE 300
STREATOR, IL 61364
Lasalle County (815) 673-4363
BRUCE SYLVESTER SMITH MD LLC
Specialist
104 W 6TH ST, SUITE 206
STREATOR, IL 61364
Lasalle County (815) 672-1610
RIZWAN S AHMAD M.D.
Surgery
104 W 6TH ST, SUITE 204
STREATOR, IL 61364
Lasalle County (815) 673-5533
CARL P MATTIODA MD AND CHAOMING CHEN MDSC
Obstetrics & Gynecology (Hospice and Palliative Medicine)
104 W 6TH ST
STREATOR, IL 61364
Lasalle County (815) 673-4363

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rosvida San Gabriel's NPI number?

The NPI number for Rosvida San Gabriel is 1023166535. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Rosvida San Gabriel located?

Rosvida San Gabriel practices at 104 W 6th St Suite 303, Streator, IL 61364. The listed phone number is (815) 673-2353.

What is Rosvida San Gabriel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Rosvida San Gabriel enrolled in Medicare?

Yes. Rosvida San Gabriel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rosvida San Gabriel was last updated on December 30, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.