ROSELAND COMMUNITY HOSPITAL
NPI 1306029889
Obstetrics & Gynecology in Chicago, IL

Active since December 07, 2007
45 W 111TH ST, CHICAGO, IL 60628(773) 995-3000(773) 995-6602 Get Directions Write a Review

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

About Roseland Community Hospital NPPES

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

ROSELAND COMMUNITY HOSPITAL (NPI 1306029889) is a healthcare organization registered as an obstetrics & gynecology in Chicago, Illinois and active in the NPI registry since December 2007. The organization lists Robert Vais, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1306029889
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameROSELAND COMMUNITY HOSPITAL ASSOCIATION
Location Address45 W 111TH STChicago, IL 60628-4200
Mailing Address45 W 111th StChicago, IL 60628-4294 · (773) 995-3116 · Fax (773) 660-4505
Fax(773) 995-6602
Organization SubpartYes
Authorized OfficialRobert VaisChief Financial Officer · (773) 995-3000
Enumeration DateDecember 7, 2007
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1306029889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedSurgeryTaxonomy 208600000X · License 036117915 (IL)
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
45 W 111TH ST, Chicago, IL 60628

Other Names 1

Doing Business AsRoseland Community Hospital

Other Identifiers 2

Other01622034Bcbs
Other01622034IL · Blue Shield

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roseland Community Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

49

Medicare enrollment records show 49 clinicians reassign Medicare billing to Roseland Community Hospital, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Diagnostic Radiology20
Certified Registered Nurse Anesthetist (CRNA)9
Anesthesiology6
Interventional Radiology5
Internal Medicine3
Psychiatry2
Emergency Medicine1
Family Practice1
2 other specialties2

Nearest to this location (20)

See all 49
General Surgery
NPI 1710082615
45 W 111TH ST
Chicago, IL 60628
(773) 995-3116
✔ PECOSSame address
Internal Medicine
NPI 1245359025
45 W 111TH ST
Chicago, IL 60628
(773) 995-3000
✔ PECOSSame address
Internal Medicine
NPI 1972609022
67 W 111TH ST SUITE 301
Chicago, IL 60628
(773) 995-3401
✔ PECOS✔ Accepts Medicare0.1 mi
Anesthesiology
NPI 1295879450
2320 E 93RD ST
Chicago, IL 60617
(773) 967-2000
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1265065312
8835 S CLYDE AVE
Chicago, IL 60617
(773) 544-0551
✔ PECOS3.8 mi
Interventional Radiology
NPI 1255592655
2850 W 95TH ST STE 203
Evergreen Park, IL 60805
(708) 229-4050
✔ PECOS✔ Accepts Medicare4.2 mi
Family Practice
NPI 1376608059
7531 S. STONY ISLAND AVE #164
Chicago, IL 60649
(773) 947-2831
✔ PECOS✔ Accepts Medicare4.9 mi
Interventional Radiology
NPI 1285074104
1 INGALLS DR
Harvey, IL 60426
(708) 915-5614
✔ PECOS✔ Accepts Medicare6.2 mi
Diagnostic Radiology
NPI 1811519465
5841 S MARYLAND AVE # MC2026
Chicago, IL 60637
(773) 702-3550
✔ PECOS✔ Accepts Medicare6.7 mi
Diagnostic Radiology
NPI 1689255325
5841 S MARYLAND AVE # MC2026
Chicago, IL 60637
(773) 702-6024
✔ PECOS✔ Accepts Medicare6.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1255910014
12251 S 80TH AVE
Palos Heights, IL 60463
(708) 923-3936
✔ PECOS✔ Accepts Medicare10 mi
Anesthesiology
NPI 1730302910
2525 S MICHIGAN AVE
Chicago, IL 60616
(312) 567-2000
✔ PECOS✔ Accepts Medicare11 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265939623
1740 W TAYLOR ST, CHICAGO, IL 60612
Chicago, IL 60612
(866) 600-2273
✔ PECOS✔ Accepts Medicare12 mi
Interventional Radiology
NPI 1972009249
1740 W TAYLOR ST
Chicago, IL 60612
(312) 413-4900
✔ PECOS✔ Accepts Medicare12 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1316131410
20201 CRAWFORD AVE SOUTHWEST ANESTHESIA CONSULTANTS
Olympia Fields, IL 60461
(708) 503-3857
✔ PECOS✔ Accepts Medicare13 mi
Diagnostic Radiology
NPI 1962030841
1725 W HARRISON ST
Chicago, IL 60612
(888) 352-7874
✔ PECOS✔ Accepts Medicare13 mi
Interventional Radiology
NPI 1366833204
1725 W HARRISON ST STE 450
Chicago, IL 60612
(312) 942-4184
✔ PECOS13 mi
Diagnostic Radiology
NPI 1992946511
1901 W HARRISON ST DEPT OF RADIOLOGY
Chicago, IL 60612
(312) 864-3825
✔ PECOS✔ Accepts Medicare13 mi
Internal Medicine
NPI 1730370586
3 ERIE CT SUITE L-600
Oak Park, IL 60302
(708) 763-6908
✔ PECOS✔ Accepts Medicare16 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194155671
3134 N CLARK ST
Chicago, IL 60657
(773) 766-4949
✔ PECOS17 mi
See all 49 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 Roseland Community Hospital Association's NPI number?

The NPI number for Roseland Community Hospital Association is 1306029889. It was assigned to this organization in the NPPES registry on December 7, 2007. The provider is doing business as Roseland Community Hospital.

Where is Roseland Community Hospital Association located?

Roseland Community Hospital Association is located at 45 W 111th St, Chicago, IL 60628. The listed phone number is (773) 995-3000.

What is Roseland Community Hospital Association's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Roseland Community Hospital Association enrolled in Medicare?

Yes. Roseland Community Hospital Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roseland Community Hospital Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 49 clinicians in 10 Medicare specialties reassign their Medicare billing to Roseland Community Hospital Association. 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 Diagnostic Radiology (20), Certified Registered Nurse Anesthetist (CRNA) (9) and Anesthesiology (6). Of these, 2 practice at this address and 10 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 Roseland Community Hospital Association was last updated on February 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.