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ROCKFORD UROLOGICAL ASSOCIATES, LTD.
NPI 1194786558
Urology in Rockford, IL

Active since March 28, 2006CLIA 14D0430238 · Certificate of Compliance
351 EXECUTIVE PKWY, ROCKFORD, IL 61107(815) 398-4057(815) 398-0220 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1194786558
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameROCKFORD UROLOGICAL ASSOCIATES, LTD.
Location Address351 EXECUTIVE PKWYRockford, IL 61107-5339
Mailing Address351 Executive PkwyRockford, IL 61107-5339 · (815) 398-4057 · Fax (815) 398-0220
Phone(815) 398-4057
Fax(815) 398-0220
Organization SubpartNo
Authorized OfficialJon PickCoo · (815) 398-4057
Enumeration DateMarch 28, 2006
Last NPPES UpdateDecember 22, 2023
NPPES CertifiedDecember 22, 2023
✔ NPI 1194786558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
351 EXECUTIVE PKWY, Rockford, IL 61107
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Other Identifiers 7

Medicaid036058803IL
Medicaid036099544IL
Medicaid036066868IL
Medicaid036080935IL
Medicaid036067790IL
Medicaid036051080IL
Medicaid036054674IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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, IL
Active · expires Oct 23, 2027
CLIA Number14D0430238
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorPamela C. Papas
Laboratory Phone(815) 398-4057
Laboratory LocationRockford Urological Associates351 Executive Pkwy Attn: Terri Burnell, Rockford, IL 61107
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 13

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

DANIEL LEE HOULIHAN D.O.
Urology
351 EXECUTIVE PKWY
ROCKFORD, IL 61107
Winnebago County (815) 398-4057
DR. LUKE RICHARD FREDERICK MD
Urology
351 EXECUTIVE PKWY
ROCKFORD, IL 61107
Winnebago County (815) 398-4057
MRS. LILIA AVILA FNP-C
Nurse Practitioner (Family)
351 EXECUTIVE PKWY
ROCKFORD, IL 61107
Winnebago County (815) 398-4057
ASHLEY WIRE FNP-BC
Nurse Practitioner (Family)
351 EXECUTIVE PKWY
ROCKFORD, IL 61107
Winnebago County (815) 398-4057
CHRISTOPHER WHELAN MD
Urology
351 EXECUTIVE PKWY
ROCKFORD, IL 61107
Winnebago County (815) 398-4057
DOUGLAS PAUL ROEGNER M.D.
Urology
351 EXECUTIVE PKWY
ROCKFORD, IL 61107
Winnebago County (815) 398-4057
DANIEL LAWLER SWIFT M.D.
Urology
351 EXECUTIVE PKWY
ROCKFORD, IL 61107
Winnebago County (815) 398-4057
MICHAEL JOHN FUMO M.D.
Urology
351 EXECUTIVE PKWY
ROCKFORD, IL 61107
Winnebago County (815) 398-4057

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 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.

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 Arizona Complete Health and 35 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.