GLENDON BURRESS
NPI 1639190200
Pediatrics - Pediatric Gastroenterology in Rockford, IL

Active since July 21, 2006PECOS Enrolled
2300 N. ROCKTON AVE., ROCKFORD HEALTH PHYSICIANS, ROCKFORD, IL 61103(815) 971-2000 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glendon Burress NPPES

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

GLENDON BURRESS (NPI 1639190200) is an individual pediatric gastroenterology provider in Rockford, Illinois, licensed in Illinois (036087077) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hoffman Estates.

NPPES Registry Identity

NPI1639190200
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameGLENDON BURRESS
Location Address2300 N. ROCKTON AVE., ROCKFORD HEALTH PHYSICIANSRockford, IL 61103
Mailing Address2300 N. Rockton Ave., Rockford Health PhysiciansRockford, IL 61103 · (815) 971-2000
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateJune 20, 2022
NPPES CertifiedJune 20, 2022
NPI 1639190200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License Licensed in IL · 036087077
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License 036087077 (IL)
2300 N. ROCKTON AVE., Rockford, IL 61103

Secondary Practice Location 1

Location 11555 Barrington Rd Bldg 1Hoffman Estates, IL 60169-1020 · Phone (224) 299-4222

Other Identifiers 1

Medicaid036087077IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Glendon Burress is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Gerontology)
2300 N. ROCKTON AVE.
ROCKFORD, IL 61103
Nurse Practitioner (Family)
2300 N. ROCKTON AVE.
ROCKFORD, IL 61103

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 Glendon Burress's NPI number?

The NPI number for Glendon Burress is 1639190200. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Glendon Burress located?

Glendon Burress practices at 2300 N. Rockton Ave. Rockford Health Physicians, Rockford, IL 61103. The listed phone number is (815) 971-2000.

What is Glendon Burress's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Glendon Burress enrolled in Medicare?

Yes. Glendon Burress is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glendon Burress was last updated on June 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.