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

Q: 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.

Q: What is Derrick Rollo's specialty?

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

Q: 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.

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: October 25, 2026.

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

On this page

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Derrick Rollo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle Health Medical Group

0.7 mi

Internal Medicine

611 W PARK ST
Urbana, IL 61801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Carle Health Care Incorporated
2,516 clinicians in this Medicare group

NPI 1154653947 (217) 383-8300

Hoopeston Community Memorial Hospital

37 mi

Rural Health

801 E ORANGE ST
Hoopeston, IL 60942

Reassigned Medicare billing, Illinois enrollment
488 clinicians in this Medicare group

NPI 1578504544 (214) 283-5644

Carle West Physician Group Inc

48 mi

Family Medicine

1302 FRANKLIN AVE STE 3400
Normal, IL 61761

Reassigned Medicare billing, Illinois enrollment
698 clinicians in this Medicare group

NPI 1467074138 (309) 556-8295

Richland Memorial Hospital, Inc.

95 mi

Rural Health

1200 N EAST ST
Olney, IL 62450

Reassigned Medicare billing, Illinois enrollment
301 clinicians in this Medicare group

NPI 1053792689 (618) 392-2940

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

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