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KELLY A. ROURKE M.D.
NPI 1033185285
Internal Medicine in Edwardsville, IL

Active since February 27, 2006PECOS Enrolled
108 GATEWAY COMMERCE CENTER DR N, EDWARDSVILLE, IL 62025(618) 219-7470 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly A. Rourke M.d. NPPES

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

KELLY A. ROURKE M.D. (NPI 1033185285) is an individual internal medicine provider in Edwardsville, Illinois, licensed in Missouri (R8N25) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033185285
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKELLY A. ROURKECredential: M.D.
Location Address108 GATEWAY COMMERCE CENTER DR NEdwardsville, IL 62025-2818
Mailing AddressPo Box 776084Chicago, IL 60677-6084 · (618) 219-7470 · Fax (618) 219-7469
Phone(618) 219-7470
Sole ProprietorNo
Enumeration DateFebruary 27, 2006
Last NPPES UpdateApril 29, 2024
NPPES CertifiedApril 29, 2024
✔ NPI 1033185285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · R8N25
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
108 GATEWAY COMMERCE CENTER DR N, Edwardsville, IL 62025
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Other Identifiers 1

Other110178092MO · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly A. Rourke 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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Rourke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Clinic East Communities
21 mi
Family Medicine
615 S NEW BALLAS RD, ADMINISTRATION BUILDING, 5TH FLOOR
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 228 clinicians in this Medicare group
NPI 1043574940 (314) 251-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62025 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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

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

JESSICA JOANN STEWART FNP-C
Nurse Practitioner (Family)
108 GATEWAY COMMERCE CENTER DR N
EDWARDSVILLE, IL 62025
Madison County (618) 219-7470

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 Kelly Rourke's NPI number?

The NPI number for Kelly Rourke is 1033185285. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Kelly Rourke located?

Kelly Rourke practices at 108 Gateway Commerce Center Dr N, Edwardsville, IL 62025. The listed phone number is (618) 219-7470.

What is Kelly Rourke's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kelly Rourke enrolled in Medicare?

Yes. Kelly Rourke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Rourke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Rourke reassigns Medicare benefits to Mercy Clinic East Communities (Saint Louis, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Rourke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Rourke accept?

Health plans from Anthem Blue Cross and Blue Shield list Kelly Rourke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Rourke was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.