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BELVIDERE EMERGENCY PHYSICIANS, LLC
NPI 1306543319
Emergency Medicine in Belvidere, IL

Active since February 09, 2023
1625 S STATE ST, BELVIDERE, IL 61008(815) 547-5441 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2026, Feb 9, 2023 (2 updates tracked since 2023).

About Belvidere Emergency Physicians, Llc NPPES

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

BELVIDERE EMERGENCY PHYSICIANS, LLC (NPI 1306543319) is a healthcare organization registered as an emergency medicine in Belvidere, Illinois and active in the NPI registry since February 2023. The organization lists Kim Larsen, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1306543319
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameBELVIDERE EMERGENCY PHYSICIANS, LLC
Location Address1625 S STATE STBelvidere, IL 61008-5907
Mailing AddressPo Box 35052Belfast, ME 04915-0628 · (770) 874-5400
Phone(815) 547-5441
Organization SubpartNo
Authorized OfficialKim LarsenDirector Of Credentialing · (770) 854-5400
Enumeration DateFebruary 9, 2023
Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1306543319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1625 S STATE ST, Belvidere, IL 61008
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.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)

Belvidere Emergency Physicians, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

89

Medicare enrollment records show 89 clinicians reassign Medicare billing to Belvidere Emergency Physicians, LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Emergency Medicine83
Nurse Practitioner5
General Surgery1

Nearest to this location (20)

See all 89
Jerry Catt, MD
Emergency Medicine
NPI 1285991299
8201 E RIVERSIDE BLVD
Rockford, IL 61114
(815) 971-7000
✔ PECOS✔ Accepts Medicare6.1 mi
David Junkins, M.D.
Emergency Medicine
NPI 1902285323
8201 E RIVERSIDE BLVD
Rockford, IL 61114
(815) 971-3333
✔ PECOS✔ Accepts Medicare6.1 mi
Vanessa Khoury, MD
Emergency Medicine
NPI 1437736667
8201 E RIVERSIDE BLVD
Rockford, IL 61114
(815) 971-7000
✔ PECOS✔ Accepts Medicare6.1 mi
Jude Perez, M.D.
Emergency Medicine
NPI 1194755587
5875 E RIVERSIDE BLVD
Rockford, IL 61114
(158) 381-7431
✔ PECOS✔ Accepts Medicare8.0 mi
Timothy Deming, N.P.
Nurse Practitioner
NPI 1023397064
1401 E STATE ST
Rockford, IL 61104
(414) 290-6720
✔ PECOS✔ Accepts Medicare11 mi
Heather Frey, N.P.
Nurse Practitioner
NPI 1033230016
1401 E STATE ST
Rockford, IL 61104
(414) 290-6720
✔ PECOS✔ Accepts Medicare11 mi
Irisha Clark, MD
Emergency Medicine
NPI 1285217760
1401 E STATE ST
Rockford, IL 61104
(779) 696-4400
✔ PECOS✔ Accepts Medicare11 mi
Kristina Damisch, MD
Emergency Medicine
NPI 1831751338
1401 E STATE ST
Rockford, IL 61104
(779) 696-4400
✔ PECOS✔ Accepts Medicare11 mi
Richard Herrmann, M.D.
Emergency Medicine
NPI 1598052532
1401 E STATE ST
Rockford, IL 61104
(414) 290-6720
✔ PECOS✔ Accepts Medicare11 mi
Aymun Khalid, M.D.
Emergency Medicine
NPI 1164118493
1401 E STATE ST
Rockford, IL 61104
(779) 696-4400
✔ PECOS11 mi
Patrick Klocek, D.O.
Emergency Medicine
NPI 1528294089
1401 E STATE ST
Rockford, IL 61104
(779) 696-4800
✔ PECOS✔ Accepts Medicare11 mi
Isra Al Jamed, MD
Emergency Medicine
NPI 1477059343
1401 E STATE ST
Rockford, IL 61104
(779) 696-4400
✔ PECOS✔ Accepts Medicare13 mi
Sarah Iqbal, MD
Emergency Medicine
NPI 1922622679
1401 E STATE ST
Rockford, IL 61104
(779) 696-4400
✔ PECOS✔ Accepts Medicare13 mi
Sonia Khan, D.O.
Emergency Medicine
NPI 1710341987
1401 E STATE ST
Rockford, IL 61104
(630) 202-5952
✔ PECOS✔ Accepts Medicare13 mi
Amanda Miller, D.O.
Emergency Medicine
NPI 1376704320
1401 E STATE ST
Rockford, IL 61104
(414) 290-6720
✔ PECOS✔ Accepts Medicare13 mi
Muhammad Shareef, M.D.
Emergency Medicine
NPI 1639602543
1401 E STATE ST
Rockford, IL 61104
(779) 696-4400
✔ PECOS✔ Accepts Medicare13 mi
Bailey Wentworth, MD
Emergency Medicine
NPI 1932606084
1401 E STATE ST
Rockford, IL 61104
(779) 696-4800
✔ PECOS✔ Accepts Medicare13 mi
David Anthony, M.D., M.P.H.
Emergency Medicine
NPI 1649437682
1 KISH HOSPITAL DR
Dekalb, IL 60115
(815) 766-7334
✔ PECOS24 mi
Syed Haq, D.O.
Emergency Medicine
NPI 1063655686
1 KISH HOSPITAL DR
Dekalb, IL 60115
(815) 766-7334
✔ PECOS✔ Accepts Medicare24 mi
Meredith Hill Ciesielski, MD
Emergency Medicine
NPI 1245527563
300R RANDALL RD
Geneva, IL 60134
(630) 208-4000
✔ PECOS✔ Accepts Medicare38 mi
See all 89 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 Belvidere Emergency Physicians, LLC's NPI number?

The NPI number for Belvidere Emergency Physicians, LLC is 1306543319. It was assigned to this organization in the NPPES registry on February 9, 2023.

Where is Belvidere Emergency Physicians, LLC located?

Belvidere Emergency Physicians, LLC is located at 1625 S State St, Belvidere, IL 61008. The listed phone number is (815) 547-5441.

What is Belvidere Emergency Physicians, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Belvidere Emergency Physicians, LLC enrolled in Medicare?

Yes. Belvidere Emergency Physicians, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Belvidere Emergency Physicians, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 89 clinicians in 3 Medicare specialties reassign their Medicare billing to Belvidere Emergency Physicians, LLC. 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 Emergency Medicine (83), Nurse Practitioner (5) and General Surgery (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Belvidere Emergency Physicians, LLC accept?

Health plans from Quartz list Belvidere Emergency Physicians, LLC 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 Belvidere Emergency Physicians, LLC was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.