BAPTIST PEDIATRIC CLINIC
NPI 1114470945
Pediatrics in Rockford, IL

Active since July 28, 2016
461 N MULFORD RD STE 4, ROCKFORD, IL 61107(815) 397-2400(815) 397-1879 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Baptist Pediatric Clinic NPPES

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

BAPTIST PEDIATRIC CLINIC (NPI 1114470945) is a healthcare organization registered as a pediatrics in Rockford, Illinois and active in the NPI registry since July 2016. The organization lists Don Daniels, Vp, as its authorized official.

NPPES Registry Identity

NPI1114470945
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSWEDISHAMERICAN HOSPITAL
Location Address461 N MULFORD RD STE 4Rockford, IL 61107-5165
Mailing AddressPo Box 78866Milwaukee, WI 53278-8866 · (779) 696-7150
Fax(815) 397-1879
Organization SubpartNo
Authorized OfficialDon DanielsVp · (815) 966-2084
Enumeration DateJuly 28, 2016
Last NPPES UpdateMay 15, 2020
NPPES CertifiedMay 15, 2020
✔ NPI 1114470945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
461 N MULFORD RD STE 4, Rockford, IL 61107

Other Names 1

Doing Business AsBaptist Pediatric Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Baptist Pediatric Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20031215000012Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

474

Medicare enrollment records show 474 clinicians reassign Medicare billing to Baptist Pediatric Clinic, which bills Medicare for the services they deliver. Of these, 261 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 39

Nurse Practitioner134
Family Practice63
Obstetrics/Gynecology30
General Surgery23
Pediatric Medicine19
Vascular Surgery18
Internal Medicine15
Cardiovascular Disease (Cardiology)14
31 other specialties158

Nearest to this location (20)

See all 474
Nurse Practitioner
NPI 1114529781
6000 E STATE ST STE 1
Rockford, IL 61108
(800) 427-1902
✔ PECOS✔ Accepts Medicare0.3 mi
General Surgery
NPI 1063686848
5668 E STATE ST #2
Rockford, IL 61108
(815) 397-7900
✔ PECOS✔ Accepts Medicare0.6 mi
Anesthesiology
NPI 1104859107
1235 N MULFORD RD STE 222
Rockford, IL 61107
(815) 397-8400
✔ PECOS✔ Accepts Medicare0.6 mi
Orthopedic Surgery
NPI 1619181120
1235 N MULFORD RD SUITE 103
Rockford, IL 61107
(815) 636-0700
✔ PECOS✔ Accepts Medicare0.6 mi
Anesthesiology
NPI 1891042552
1235 N MULFORD RD STE 222
Rockford, IL 61107
(815) 397-8400
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1104544030
1235 N MULFORD RD STE 222
Rockford, IL 61107
(815) 397-8400
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1407309982
1235 N MULFORD RD STE 222
Rockford, IL 61107
(815) 397-8400
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1942451000
1235 N MULFORD RD STE 103
Rockford, IL 61107
(815) 636-0700
✔ PECOS✔ Accepts Medicare0.6 mi
Anesthesiology
NPI 1467470989
1235 NORTH MULFORD ROAD SUITE 222
Rockford, IL 61107
(815) 397-8400
✔ PECOS✔ Accepts Medicare0.6 mi
Psychiatry
NPI 1366641714
4960 E STATE ST
Rockford, IL 61108
(815) 387-5309
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1821029091
6824 NEWBURG RD
Rockford, IL 61108
(779) 696-7610
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1891294195
5970 CHURCHVIEW DR
Rockford, IL 61107
(815) 971-2000
✔ PECOS✔ Accepts Medicare1.6 mi
Physical Therapist in Private Practice
NPI 1861886178
1301 N ALPINE RD # 201
Rockford, IL 61107
(779) 696-0700
✔ Accepts Medicare1.6 mi
Podiatry
NPI 1700438264
1253 N ALPINE RD
Rockford, IL 61107
(779) 696-9201
✔ PECOS✔ Accepts Medicare1.6 mi
Otolaryngology
NPI 1922090646
1253 N ALPINE RD
Rockford, IL 61107
(779) 696-9201
✔ PECOS✔ Accepts Medicare1.6 mi
Allergy/Immunology
NPI 1861425720
1253 N ALPINE RD
Rockford, IL 61107
(815) 713-6995
✔ PECOS✔ Accepts Medicare1.6 mi
Qualified Audiologist
NPI 1194903849
1253 N ALPINE RD
Rockford, IL 61107
(779) 696-9201
✔ Accepts Medicare1.6 mi
Endocrinology
NPI 1013267194
1253 N ALPINE RD
Rockford, IL 61107
(779) 696-9201
✔ PECOS✔ Accepts Medicare1.6 mi
Obstetrics/Gynecology
NPI 1790873016
1253 N ALPINE RD
Rockford, IL 61107
(779) 696-9201
✔ PECOS✔ Accepts Medicare1.7 mi
Internal Medicine
NPI 1750887592
6861 VILLAGREEN VW
Rockford, IL 61107
(779) 696-1815
✔ PECOS✔ Accepts Medicare1.8 mi
See all 474 clinicians

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

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 Swedishamerican Hospital's NPI number?

The NPI number for Swedishamerican Hospital is 1114470945. It was assigned to this organization in the NPPES registry on July 28, 2016. The provider is doing business as Baptist Pediatric Clinic.

Where is Swedishamerican Hospital located?

Swedishamerican Hospital is located at 461 N Mulford Rd Ste 4, Rockford, IL 61107. The listed phone number is (815) 397-2400.

What is Swedishamerican Hospital's specialty?

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

Is Swedishamerican Hospital enrolled in Medicare?

Yes. Swedishamerican Hospital is registered in the Medicare PECOS enrollment system.

When is Swedishamerican Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Swedishamerican Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 474 clinicians in 39 Medicare specialties reassign their Medicare billing to Swedishamerican Hospital. A 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 the clinician's services. The largest specialties are Nurse Practitioner (134), Family Practice (63) and Obstetrics/Gynecology (30). Of these, 261 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Swedishamerican Hospital was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.