VEDIC ROOTS INTEGRATIVE MEDICINE INC
NPI 1124958632
Clinic/Center - Health Service in Rockford, IL
About Vedic Roots Integrative Medicine Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VEDIC ROOTS INTEGRATIVE MEDICINE INC (NPI 1124958632) is a healthcare organization registered as a health service in Rockford, Illinois and active in the NPI registry since May 2026. The organization lists Adriana Tobar, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vedic Roots Integrative Medicine Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Vedic Roots Integrative Medicine Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Vedic Roots Integrative Medicine Inc's NPI number?
The NPI number for Vedic Roots Integrative Medicine Inc is 1124958632. It was assigned to this organization in the NPPES registry on May 19, 2026.
Where is Vedic Roots Integrative Medicine Inc located?
Vedic Roots Integrative Medicine Inc is located at 4753 Manhattan Dr, Rockford, IL 61108. The listed phone number is (779) 423-5411.
What is Vedic Roots Integrative Medicine Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Vedic Roots Integrative Medicine Inc enrolled in Medicare?
Yes. Vedic Roots Integrative Medicine Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vedic Roots Integrative Medicine Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Vedic Roots Integrative Medicine Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vedic Roots Integrative Medicine Inc was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Vedic Roots Integrative Medicine Inc · NPI 1124958632
Health Service organization in Rockford, Illinois. Organization record, active in the CMS NPPES registry since May 19, 2026.
## Identity
- **NPI:** 1124958632 (Entity type: Organization)
- **Enumerated:** May 19, 2026
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Adriana Tobar, MEDICAL DIRECTOR
## Practice location
- **Address:** 4753 MANHATTAN DR, Rockford, IL 61108-2264
- **Phone:** (779) 423-5411
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124958632) · Data from the CMS NPPES public registry.