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DR. FIKISHA LATOYA WARDEN M.D.
NPI 1679701395
Family Medicine in Rockford, IL

Active since July 01, 2009PECOS Enrolled
4857 MANHATTAN DR, ROCKFORD, IL 61108(815) 708-0116(815) 708-0174 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 29, 2020, Aug 5, 2019 (2 updates tracked since 2019).

About Dr. Fikisha Latoya Warden M.d. NPPES

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

DR. FIKISHA LATOYA WARDEN M.D. (NPI 1679701395) is an individual family medicine provider in Rockford, Illinois, licensed in Illinois (036144365) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Saint Anthony Medical Center, and maintains a secondary practice location in Fenton.

NPPES Registry Identity

NPI1679701395
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. FIKISHA LATOYA WARDENCredential: M.D.
Location Address4857 MANHATTAN DRRockford, IL 61108
Mailing Address4857 Manhattan DrRockford, IL 61108-2265 · (815) 708-0116 · Fax (815) 708-0174
Phone(815) 708-0116
Fax(815) 708-0174
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 1, 2009
Last NPPES UpdateJune 29, 20202 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
✔ NPI 1679701395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036144365✔ Licensed in MO · 2014024079✔ Licensed in CT · 50745
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4857 MANHATTAN DR, Rockford, IL 61108
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Secondary Practice Location 1

Location 11011 Bowles Ave, Suite 300Fenton, MO 63026-2395 · Phone (636) 496-5000 · Fax (636) 496-5055

Other Identifiers 1

Other036144365IL · Idfpr

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Fikisha Latoya Warden M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739338351
PECOS Enrollment IDI20171220002273
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Fikisha Warden reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hopkins Family Med & Urgent Care, PLLC
Same address
Family Medicine
4857 MANHATTAN DR
Rockford, IL 61108
  • Reassigned Medicare billing, Illinois enrollment
NPI 1568025872 (815) 708-0116
Rockford Health Physicians
4.6 mi
Anesthesiology
2400 N ROCKTON AVE
Rockford, IL 61103
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1023275278 (815) 971-5000
Ssm Medical Group, Inc.
254 mi
Clinic/Center
1101 HIGHWAY K STE A
O Fallon, MO 63366
  • Reassigned Medicare billing, Missouri enrollment
  • 697 clinicians in this Medicare group
NPI 1851896146 (844) 766-7200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61108 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
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 5

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

MALIK EYE INSTITUTE LLC
Eyewear Supplier
4857 MANHATTAN DR
ROCKFORD, IL 61108
Winnebago County (815) 399-0599
IMLER VISION CENTERS, LLC
Eyewear Supplier
4857 MANHATTAN DR
ROCKFORD, IL 61108
Winnebago County (815) 399-0599
MALIK EYE INSTITUTE LLC
Ophthalmology
4857 MANHATTAN DR
ROCKFORD, IL 61108
Winnebago County (815) 399-0599
HOPKINS FAMILY MED & URGENT CARE, PLLC
Family Medicine
4857 MANHATTAN DR
ROCKFORD, IL 61108
Winnebago County (815) 708-0116
NELSON P GURNEY MD
Ophthalmology
4857 MANHATTAN DR
ROCKFORD, IL 61108
Winnebago County (815) 399-0599

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 Fikisha Warden's NPI number?

The NPI number for Fikisha Warden is 1679701395. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Fikisha Warden located?

Fikisha Warden practices at 4857 Manhattan Dr, Rockford, IL 61108. The listed phone number is (815) 708-0116.

What is Fikisha Warden's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Fikisha Warden enrolled in Medicare?

Yes. Fikisha Warden is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fikisha Warden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fikisha Warden reassigns Medicare benefits to 3 organizations: Hopkins Family Med & Urgent Care, PLLC (Rockford, IL), Rockford Health Physicians (Rockford, IL) and Ssm Medical Group, Inc. (O Fallon, MO). Each 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 Fikisha Warden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Fikisha Warden affiliated with any hospitals?

According to CMS data, Fikisha Warden is affiliated with Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Fikisha Warden was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.