FAMILY MEDICINE SPECIALISTS OF ROUND LAKE INCORPORATED S C
NPI 1740515253
Family Medicine in Round Lake Beach, IL

Active since October 16, 2009
2680 ROUTE 83, ROUND LAKE BEACH, IL 60073(224) 372-7780(224) 372-7782 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2024, Aug 6, 2024 (2 updates tracked since 2024).

About Family Medicine Specialists Of Round Lake Incorporated S C NPPES

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

FAMILY MEDICINE SPECIALISTS OF ROUND LAKE INCORPORATED S C (NPI 1740515253), doing business as Family Medicine Specialists Incorporated, is a healthcare organization registered as a family medicine in Round Lake Beach, Illinois and active in the NPI registry since October 2009. The organization lists Jason Bellucci, Cfo, as its authorized official.

NPPES Registry Identity

NPI1740515253
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICINE SPECIALISTS OF ROUND LAKE INCORPORATED S C
Location Address2680 ROUTE 83Round Lake Beach, IL 60073
Mailing AddressPo Box 6037Wauconda, IL 60084-2452 · (847) 526-2151 · Fax (847) 526-2017
Fax(224) 372-7782
Organization SubpartNo
Authorized OfficialJason BellucciCfo · (847) 526-2151
Enumeration DateOctober 16, 2009
Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1740515253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036083207
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.
2680 ROUTE 83, Round Lake Beach, IL 60073

Other Names 1

Former Legal Business NameFamily Medicine Specialists Incorporated

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Medicine Specialists Of Round Lake Incorporated S C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

26

Medicare enrollment records show 26 clinicians reassign Medicare billing to Family Medicine Specialists Of Round Lake Incorporated S C, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nurse Practitioner23
Family Practice2
Certified Clinical Nurse Specialist (CNS)1

Nearest to this location (20)

See all 26
Nurse Practitioner
NPI 1639302615
604 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare10.0 mi
Nurse Practitioner
NPI 1649035833
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1780331033
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1205471679
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare10 mi
Family Practice
NPI 1689669293
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1497587851
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1841948932
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1720373731
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1508216540
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1144897547
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS10 mi
Nurse Practitioner
NPI 1104423094
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1487460952
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1841718087
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1407569627
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1023424389
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1043085301
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare10 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1194968602
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare10 mi
Family Practice
NPI 1356335996
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1700271459
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS10 mi
Nurse Practitioner
NPI 1366818692
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare10 mi
See all 26 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 Family Medicine Specialists Of Round Lake Incorporated S C's NPI number?

The NPI number for Family Medicine Specialists Of Round Lake Incorporated S C is 1740515253. It was assigned to this organization in the NPPES registry on October 16, 2009. The provider was formerly known as Family Medicine Specialists Incorporated.

Where is Family Medicine Specialists Of Round Lake Incorporated S C located?

Family Medicine Specialists Of Round Lake Incorporated S C is located at 2680 Route 83, Round Lake Beach, IL 60073. The listed phone number is (224) 372-7780.

What is Family Medicine Specialists Of Round Lake Incorporated S C's specialty?

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

Is Family Medicine Specialists Of Round Lake Incorporated S C enrolled in Medicare?

Yes. Family Medicine Specialists Of Round Lake Incorporated S C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Medicine Specialists Of Round Lake Incorporated S C?

According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 3 Medicare specialties reassign their Medicare billing to Family Medicine Specialists Of Round Lake Incorporated S C. 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 Nurse Practitioner (23), Family Practice (2) and Certified Clinical Nurse Specialist (CNS) (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Family Medicine Specialists Of Round Lake Incorporated S C accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and MercyCare Health Plans list Family Medicine Specialists Of Round Lake Incorporated S C 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 Family Medicine Specialists Of Round Lake Incorporated S C was last updated on October 9, 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.