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DR. DERRICK E ROLLO D.O.
NPI 1881891471
Pediatrics in Urbana, IL

Active since June 28, 2007PECOS Enrolled
611 W PARK ST, URBANA, IL 61801(217) 383-3311(217) 383-3463 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2021, Sep 29, 2015 (2 updates tracked since 2015).

About Dr. Derrick E Rollo D.o. NPPES

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

DR. DERRICK E ROLLO D.O. (NPI 1881891471) is an individual pediatrics provider in Urbana, Illinois, licensed in Illinois (036122306) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881891471
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DERRICK E ROLLOCredential: D.O.
Location Address611 W PARK STUrbana, IL 61801-2529
Mailing Address611 W Park St, BwpcUrbana, IL 61801-2529 · (217) 383-6792
Phone(217) 383-3311
Fax(217) 383-3463
Sole ProprietorNo
Enumeration DateJune 28, 2007
Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
✔ NPI 1881891471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IL · 036122306✔ Licensed in IL · 125-051736
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 02004004A (IN)
611 W PARK ST, Urbana, IL 61801
Open in Google Maps ↗

Other Identifiers 2

Other000000761884IN · Anthem Provider Number
Medicaid201060370IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derrick E Rollo D.o. 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 61801 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 20

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

DR. UDAY BHASKAR KANAKADANDI MD
Internal Medicine (Interventional Cardiology)
611 W PARK ST, HVI
URBANA, IL 61801
Champaign County (217) 383-3110
DR. VIKAS DESAI MD
Urology
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3160
ANUJA BEDI D.O, M.P.H
Family Medicine
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
EMILY REMINGTON NP
Nurse Practitioner (Women's Health)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3140
MAHMOUD ELRAKHAWY MD
Surgery (Vascular Surgery)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 904-7000
KENDALL E WALLACE APRN
Nurse Practitioner (Family)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
ANNE FAHNESTOCK PT
Physical Therapist
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
TIMTIM APPERSON APRN
Family Medicine
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 954-2805

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 Derrick Rollo's NPI number?

The NPI number for Derrick Rollo is 1881891471. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Derrick Rollo located?

Derrick Rollo practices at 611 W Park St, Urbana, IL 61801. The listed phone number is (217) 383-3311.

What is Derrick Rollo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Derrick Rollo enrolled in Medicare?

Yes. Derrick Rollo is registered in the Medicare PECOS enrollment system.

What insurance does Derrick Rollo accept?

Health plans from CareSource list Derrick Rollo 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 Derrick Rollo was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.