ROCKFORD UROLOGICAL ASSOCIATES, LTD.
NPI 1194786558
Urology in Rockford, IL
About Rockford Urological Associates, Ltd. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROCKFORD UROLOGICAL ASSOCIATES, LTD. (NPI 1194786558) is a healthcare organization registered as an urology in Rockford, Illinois and active in the NPI registry since March 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 23, 2027 and lists Jon Pick, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rockford Urological Associates, Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Rockford Urological Associates, Ltd., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (17)
Maywood, IL 60153
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 14D0430238
Rockford Urological Associates · Rockford, ILFrequently 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 Rockford Urological Associates, Ltd.'s NPI number?
The NPI number for Rockford Urological Associates, Ltd. is 1194786558. It was assigned to this organization in the NPPES registry on March 28, 2006.
Where is Rockford Urological Associates, Ltd. located?
Rockford Urological Associates, Ltd. is located at 351 Executive Pkwy, Rockford, IL 61107. The listed phone number is (815) 398-4057.
What is Rockford Urological Associates, Ltd.'s specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Rockford Urological Associates, Ltd. enrolled in Medicare?
Yes. Rockford Urological Associates, Ltd. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rockford Urological Associates, Ltd.?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 5 Medicare specialties reassign their Medicare billing to Rockford Urological Associates, Ltd.. 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 Urology (8), Nurse Practitioner (5) and Interventional Radiology (2). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Rockford Urological Associates, Ltd. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 14D0430238) is associated with this NPI, valid through October 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Rockford Urological Associates, Ltd. accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 33 other insurers list Rockford Urological Associates, Ltd. 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 Rockford Urological Associates, Ltd. was last updated on December 22, 2023. 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.
# Rockford Urological Associates, Ltd. · NPI 1194786558
Urology organization in Rockford, Illinois. Organization record, active in the CMS NPPES registry since March 28, 2006.
## Identity
- **NPI:** 1194786558 (Entity type: Organization)
- **Enumerated:** March 28, 2006
- **Primary specialty:** Urology · taxonomy 208800000X
- **Organization subpart:** No
- **Authorized official:** Jon Pick, COO
## Practice location
- **Address:** 351 EXECUTIVE PKWY, Rockford, IL 61107-5339
- **Phone:** (815) 398-4057 · **Fax:** (815) 398-0220
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Urology (8), Nurse Practitioner (5), Interventional Radiology (2); 6 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2023
- **Other identifiers:** Medicaid 036058803 (IL); Medicaid 036099544 (IL); Medicaid 036066868 (IL); and 4 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194786558) · Data from the CMS NPPES public registry.